person
Mrs. Celia Green Sukon, PA
Medical Physician Assistant in White City, Oregon
NPI 1053373886

Celia Green Sukon is a Medical Physician Assistant based in White City, OR and is specialized in Medical. Celia Green Sukon practices in White City, OR and has the professional credentials of PA. The NPI Number for Celia Green Sukon is 1053373886 and holds a License No. PA61306617 (Oregon).

The current practice location address for Celia Green Sukon is 8495 Crater Lake Hwy, White City, OR and can be reached out via phone at 541-826-2111.

Location: 8495 Crater Lake Hwy, White City, OR, 97503
person
Provider Profile Details
NPI Number
1053373886
Provider Name
Celia Green Sukon
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
8495 Crater Lake Hwy, White City, OR, 97503
Phone Number
541-826-2111
Fax Number
Provider Enumeration Date
04/05/2006
Last Update Date
09/14/2024
institution
Provider Business Practice Location Address Details
Address
8495 Crater Lake Hwy
City
State
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider Business Mailing Address Details
Address
8495 Crater Lake Hwy
City
State
Zip
97503-3011
Phone Number
541-826-2111
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Adult Medicine
Taxonomy
License No.
PA 14901 (California)
Definition
Definition to come.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
General Practice
Speciality
-
Taxonomy
License No.
14901 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
PA61306617 (Washington)
Definition
Definition to come...
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