Yuji Suzuki, DC | |
9455 Sw 80th Ave, Portland, OR 97223-8966 | |
(503) 662-7474 | |
Not Available |
Full Name | Yuji Suzuki |
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Gender | Male |
Speciality | Chiropractor |
Location | 9455 Sw 80th Ave, Portland, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437732260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 6152 (Oregon) | Primary |
Provider Name | Gateway Sports Medicine & Rehabilitation Pc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1972698892 PECOS PAC ID: 4385617489 Enrollment ID: O20040817000740 |
Mailing Address | Practice Location Address |
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Yuji Suzuki, DC 9455 Sw 80th Ave, Portland, OR 97223-8966 Ph: (503) 662-7474 | Yuji Suzuki, DC 9455 Sw 80th Ave, Portland, OR 97223-8966 Ph: (503) 662-7474 |
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