Suk, Eui Young

Suk, Eui Young is an sole proprietor health care provider with primary practice located at 9234 Ne Glisan St , Portland OR 97220-4532. He recently has only one registered license in Dental Providers / Denturist, which is considered as his primary health care specialty. Suk, Eui Young can be contacted via phone (503) 254-4823.

Contact Information

Primary practice address
9234 Ne Glisan St Portland OR 97220-4532
Fax: (503) 254-4823
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Denturist 122400000X DTDO918828 Oregon

Profile Details

NPI number 1558577007
LBN Legal business name Suk, Eui Young
Credentials DENTURIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 14th, 2007
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558577007 NPPES
Oregon MEDICAID 069168

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