MICHAEL SUCHOSKI

PORTLAND, OR
NPI1043766231
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy222Z00000X 
(Licence: OR  ABC02970)
Additional Taxonomies224P00000X Prosthetist
(Licence: OR  ABC02970)
Enumeration Date2016-08-29
Last Update Date2016-08-29
Business Address
-- MICHAEL SUCHOSKI
3101 SW SAM JACKSON PARK RD
PORTLAND, OR 97239-3009
Phone number: 503-221-3430
Mailing Address
-- MICHAEL SUCHOSKI
PO BOX 865109
ORLANDO, FL 32886-5109
Phone number:
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