Individual
DR. ANDREW GARY SUCHOCKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Contact information
Practice address
1425 BEAVERCREEK RD, OREGON CITY, OR 97045-4076
(503) 655-8471
(503) 723-4946
Mailing address
2051 KAEN RD STE 367, OREGON CITY, OR 97045-4035
(503) 742-5300
(503) 742-5979
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
35092730
OH
207Q00000X
Family Medicine Physician
43003
KY
207Q00000X
Family Medicine Physician
Primary
MD165025
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3068899
—
OH
01
—
35-092730
OHIO MEDICAL LICENSE
OH
Enumeration date
04/26/2007
Last updated
03/07/2023
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