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Contact Information

SAMUEL SUK, MD, PC
1500 NW BETHANY BLVD STE 200
BEAVERTON, OR97006-5236
 Phone: 503-298-3728
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for SAMUEL SUK MD PC · (Female)

NPI # 1992190292
Status Active
Credentials
Entity Individual
Enumeration date 04/02/2015
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 Not specified
Identifiers
  • OR License # 21879
  • OR Medicaid 500692661
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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