Individual
SAMUEL S SUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 708-0523
(844) 813-1588
Mailing address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 708-0523
(844) 813-1588
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
MD21879
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134227
—
OR
05
—
500692661
—
OR
Enumeration date
12/12/2006
Last updated
07/21/2022
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