Mr Glen Allen Suchanek I, CADCI, CRM - Counselor in Oak Grove, OR

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Mr Glen Allen Suchanek I, CADCI, CRM is a Counselor - Addiction (substance Use Disorder) based in Oak Grove, Oregon. Mr Glen Allen Suchanek I is licensed to practice in Oregon (license number 18-07-04) and his current practice location is 3811 Se Concord Rd, Oak Grove, Oregon. He can be reached at his office (for appointments etc.) via phone at (971) 269-6812.

NPI number for Mr Glen Allen Suchanek I is 1588221691 and his current mailing address is 232 Nw 6th Ave, Portland, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1588221691.

Contact Information

Mr Glen Allen Suchanek I, CADCI, CRM
3811 Se Concord Rd,
Oak Grove, OR 97267-3911
(971) 269-6812
(503) 208-3186

Map and Direction


Healthcare Provider's Profile

Full NameMr Glen Allen Suchanek I
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3811 Se Concord Rd, Oak Grove, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1588221691
  • Provider Enumeration Date: 05/23/2019
  • Last Update Date: 05/23/2019

Medical Identifiers

Medical identifiers for Mr Glen Allen Suchanek I such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1588221691NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 18-07-04 (Oregon)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glen Allen Suchanek I is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Glen Allen Suchanek I, CADCI, CRM
232 Nw 6th Ave,
Portland, OR 97209-3609

Ph: (971) 269-6812		Mr Glen Allen Suchanek I, CADCI, CRM
3811 Se Concord Rd,
Oak Grove, OR 97267-3911

Ph: (971) 269-6812

Reviews and Comments


Counselor in Oak Grove, OR

Angela M Gilchrist-stewart, MA, LPC
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2190 Se Oak Grove Blvd, Oak Grove, OR 97267
Phone: 503-875-6279    
Michelle Pierson,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 14333 Se Wagner Ln, Oak Grove, OR 97267
Phone: 971-271-3065    

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