| Samuel Suk | |
|
1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 | |
| (503) 298-3728 | |
| Not Available |
| Full Name | Samuel Suk |
|---|---|
| Speciality | Family Medicine |
| Location | 1500 Nw Bethany Blvd Ste 200, Beaverton, Oregon |
| Authorized Official Name and Position | Samuel S Suk (OWNER) |
| Authorized Official Contact | 5032983728 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Samuel Suk 1500 Nw Bethany Blvd Suite 200 Beaverton OR 97006-5208 Ph: (503) 298-3728 | Samuel Suk 1500 Nw Bethany Blvd Ste 200 Beaverton OR 97006-5236 Ph: (503) 298-3728 |
| NPI Number | 1992190292 |
|---|---|
| Provider Enumeration Date | 04/02/2015 |
| Last Update Date | 07/21/2022 |
| Medicare PECOS PAC ID | 0749551406 |
|---|---|
| Medicare Enrollment ID | O20170731000980 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992190292 | NPI | - | NPPES |
| 500692661 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 21879 (Oregon) | Primary |
| Provider Name | Gary A Gelardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841473907 PECOS PAC ID: 5799869889 Enrollment ID: I20080228000074 |
| Provider Name | Kathleen P Maynez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1902835838 PECOS PAC ID: 7416034137 Enrollment ID: I20090921000292 |
| Provider Name | Samuel Suk |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518028976 PECOS PAC ID: 8628109055 Enrollment ID: I20100629000918 |
| Provider Name | Lydia Warner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225314792 PECOS PAC ID: 7719138734 Enrollment ID: I20121121000016 |
Livewell Clinic Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10700 Sw Beaverton Hillsdale Hwy Ste 300a-4, Beaverton, OR 97005 Phone: 503-887-0311 Fax: 503-530-8581 | |
Wildwood Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 16100 Nw Cornell Rd Ste 220, Beaverton, OR 97006 Phone: 303-929-8993 | |
Miranda Mccormack, M.d., Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5040 Sw Griffith Dr, #201, Beaverton, OR 97005 Phone: 503-616-2224 | |
Careoregon Community Health, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 17175 Sw Tualatin Valley Hwy, Suite B-2, Beaverton, OR 97006 Phone: 503-848-5861 Fax: 503-848-5863 | |
Hazelden Betty Ford Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6600 Sw 105th Ave Ste 120, Beaverton, OR 97008 Phone: 800-257-7800 | |
Murrayhill Medical Office Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 11200 Sw Murray Scholls Pl, Suite 100, Beaverton, OR 97007 Phone: 800-813-2000 Fax: 503-286-6879 | |
Go To Ortho Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2695 Sw Cedar Hills Blvd Ste 140, Beaverton, OR 97005 Phone: 503-850-9950 Fax: 877-533-6717 |