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Jeremy Suchanski

NPI 1962762740 · on the registry since 2012 · sole proprietor

Practice

Address
10180 Se Sunnyside Rd
Clackamas, OR 97015
Phone
(503) 571-8877
Organisation at this address
Brookside Center
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Kaiser Permanente
Inferred from a shared address, not stated in the registry.
Clinicians at this address
769

Registry record

Primary taxonomy
376K00000X
376K00000X
Licence states on file
OR
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2012-05-25

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon