Individual
MR. JAMES EDWARD SUITER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP-BC / GNP-BC
Contact information
Practice address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(541) 914-6421
(503) 905-0897
Mailing address
4560 SE INTERNATIONAL WAY STE 100, MILWAUKIE, OR 97222-4628
(541) 914-6421
(503) 905-0897
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
200750074NP FNP-PP
OR
363LG0600X
Gerontology Nurse Practitioner
200750074NP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12260994
CAQH
—
01
—
200750074NP FNP-PP
OREGON STATE BOARD OF NURSING --FNP
OR
01
—
200880005DP
OREGON STATE BOARD OF NURSING DISPENSING PRIVELAGES
OR
05
—
241776
—
OR
01
—
LIPA:JAMES E. SUITER
LIPA
OR
Enumeration date
09/28/2007
Last updated
09/07/2024
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