Jeremy Suchanski

NPI #1962762740 in Clackamas, Oregon

Provider Information

NPI Number: 1962762740
Entity Type: Individual
Name: Jeremy Suchanski
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Nurse's Aide
Enumeration Date: May 25, 2012
Last Updated: May 25, 2012

Practice Location

Address: 10180 SE SUNNYSIDE RD
City: Clackamas
State: Oregon
ZIP Code: 97015-8970
Phone: (503) 571-8877

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Nurse's Aide	376K00000X	Primary

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