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Contact Information

MICHAEL SUCHOSKI
3101 SW SAM JACKSON PARK RD
PORTLAND, OR97239-3009
 Phone: 503-221-3430
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Orthotist

222Z00000X 55 Individual Certified Orthotist
 

Prosthetist

224P00000X 56 Individual Certified Prosthetist
Indicates primary specialty

NPI Profile & details for MICHAEL SUCHOSKI · (Male)

NPI # 1043766231
Status Active
Credentials
Entity Individual
Enumeration date 08/29/2016
Last updated 08/29/2016 - About 10 years ago
Sole proprietor 1 No
Identifiers
  • OR License # ABC02970
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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