Jason W. Suszko M.D.

NPI 1619276177 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1619276177
Gender Male
Enumeration Date 03/23/2011
Last Updated 03/22/2016
Entity Type Individual
Active Over 5 years ago
Practice Location
3600 N INTERSTATE AVE
PORTLAND OR, 97227-1106, US
Phone (503) 331-3060
Fax
Business Location
3600 N INTERSTATE AVE
PORTLAND OR, 97227-1106, US
Phone (503) 331-3060
Fax (702) 671-2376
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Jason W. Suszko M.D. NPI is 1619276177, taxonomy code is 390200000X Jason W. Suszko M.D. physically located at 3600 N Interstate Ave, Portland OR, 97227-1106. NPI Number Jason W. Suszko M.D. has the Individual type.

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1619276177 NPI number is provided on an as is basis without warranty of any kind. 1619276177 is maintained by the National Plan & Provider Enumeration System. The contents of Jason W. Suszko M.D. are for informational purposes only.