NPI | 1992190292 |
---|---|
Doing Business As | DOCTOR/ME |
Doing Business As | SAMUEL SUK |
Entity Type | Organization |
Authorized Contact | SAMUEL S SUK Owner 503-298-3728 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: OR 21879) |
Enumeration Date | 2015-04-02 |
Last Update Date | 2022-07-21 |