Provider Demographics
NPI:1437035938
Name:SUSANSWAGPT
Entity type:Organization
Organization Name:SUSANSWAGPT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHWEIGHARDT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:503-701-4622
Mailing Address - Street 1:3364 HILLSIDE CT
Mailing Address - Street 2:
Mailing Address - City:HUBBARD
Mailing Address - State:OR
Mailing Address - Zip Code:97032-9632
Mailing Address - Country:US
Mailing Address - Phone:503-701-4622
Mailing Address - Fax:
Practice Address - Street 1:3364 HILLSIDE CT
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OR
Practice Address - Zip Code:97032-9632
Practice Address - Country:US
Practice Address - Phone:503-701-4622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-12
Last Update Date:2025-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy