Individual
MR. EUI YOUNG SUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DENTURIST
Contact information
Practice address
9234 NE GLISAN ST, PORTLAND, OR 97220-4532
(503) 254-4823
(503) 254-4823
Mailing address
9234 NE GLISAN ST, PORTLAND, OR 97220-4532
(503) 254-4823
(503) 254-4823
Taxonomy
Speciality
Code
Description
License number
State
122400000X
Denturist
Primary
DTDO918828
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
069168
—
OR
Enumeration date
05/14/2007
Last updated
07/08/2007
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