Joel M Suckow-Md, Llc

LBN: Joel M Suckow-Md, Llc
Joel M Suckow-Md, Llc is an health care organization with primary practice located at 773 Linda Ave Ne , Keizer OR 97303-4549. The organization recently has only one registered license in Agencies / Community/Behavioral Health, which is considered as the primary health care specialty. Joel M Suckow-Md, Llc can be contacted via phone (971) 808-2854, or through Gonzalez, Tracy via phone (541) 941-7792.

Contact Information

Primary practice address
773 Linda Ave Ne Keizer OR 97303-4549
Phone: (971) 808-2854
Fax: (888) 256-7959
Website:
Map and Directions
Authorized official contact:
Name: Gonzalez, Tracy
Phone: (541) 941-7792

Health care specialties

SpecialtyCodeLicense #State
Agencies / Community/Behavioral Health 251S00000X OR MD28195 Oregon

Profile Details

NPI number 1700335536
LBN Legal business name Joel M Suckow-Md, Llc
DBA Doing business as
Authorized official Gonzalez, Tracy
Entity Organization
Organization subpart 1 No
Enumeration date Sep 21st, 2016
Last updated Mar 7th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700335536 NPPES
Oregon Other OR MD28195 OREGON STATE LICNESE

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