Individual
CAROL M SUZUKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1040 NW 22ND AVE, STE 330, PORTLAND, OR 97210-3057
(503) 274-9936
Mailing address
1040 NW 22ND AVE, STE 330, PORTLAND, OR 97210-3057
(503) 274-9936
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD22486
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288296
—
OR
Enumeration date
08/09/2006
Last updated
05/20/2016
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