| Samuel Suk, Md, Pc | |
|
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 | |
| (503) 298-3728 | |
| Not Available |
| Full Name | Samuel Suk, Md, Pc |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1500 Nw Bethany Blvd Ste 200, Beaverton, Oregon |
| Authorized Official Name and Position | Samuel S Suk (OWNER) |
| Authorized Official Contact | 5032983728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Suk, Md, Pc 1500 Nw Bethany Blvd Suite 200 Beaverton OR 97006-5208 Ph: (503) 298-3728 | Samuel Suk, Md, Pc 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (503) 298-3728 |
| NPI Number | 1992190292 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992190292 | NPI | - | NPPES |
| 500692661 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 21879 (Oregon) | Primary |
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