Suk, Samuel S

Suk, Samuel S is an individual health care provider with primary practice located at 1500 Nw Bethany Blvd Ste 200 , Beaverton OR 97006-5236. He recently has only one registered license in Allopathic & Osteopathic Physicians / Geriatric Medicine, which is considered as his primary health care specialty. Suk, Samuel S can be contacted via phone (503) 708-0523.

Contact Information

Primary practice address
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236
Phone: (503) 708-0523
Fax: (844) 813-1588
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MD21879 Oregon

Profile Details

NPI number 1518028976
LBN Legal business name Suk, Samuel S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2006
Last updated Jul 21st, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1518028976 NPPES
Oregon MEDICAID 500692661
Oregon MEDICAID 134227

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