Michael C Su M.D.

NPI 1487712162 - Anesthesiology - 207L00000X

NPI Details
NPI 1487712162
Gender Male
Enumeration Date 12/05/2006
Last Updated 09/11/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
STE 700
PORTLAND OR, 97205-3536, US
Phone (503) 299-9906
Fax (503) 225-9002
Business Location
PO BOX 2040
PORTLAND OR, 97208-2040, US
Phone (503) 299-9906
Fax (503) 225-9002
Taxonomy Code 207L00000X
License State Massachusetts
License Number 221921
Remove 1487712162 NPI Number

According to our database, Dr. Michael C Su M.D. NPI is 1487712162, taxonomy code is 207L00000X and license number is 221921, license state is located at Massachusetts. Michael C Su M.D. physically located at 707 Sw Washington St, Portland OR, 97205-3536. NPI Number Michael C Su M.D. has the Individual type.

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1487712162 NPI number is provided on an as is basis without warranty of any kind. 1487712162 is maintained by the National Plan & Provider Enumeration System. The contents of Michael C Su M.D. are for informational purposes only.