Organization
SAMUEL SUK, MD, PC
Active
Other names
Samuel Suk, Doctor/Me
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL S SUK M.D. (OWNER)
(503) 298-3728
Entity
Organization
Contact information
Practice address
1500 NW BETHANY BLVD STE 200, BEAVERTON, OR 97006-5236
(503) 298-3728
Mailing address
1500 NW BETHANY BLVD, SUITE 200, BEAVERTON, OR 97006-5208
(503) 298-3728
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
21879
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500692661
—
OR
Enumeration date
04/02/2015
Last updated
07/21/2022
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