person
Mr. Eui Young Suk, DENTURIST
Denturist in Portland, Oregon
NPI 1558577007

Eui Young Suk is a Denturist based in Portland, OR. Eui Young Suk practices in Portland, OR and has the professional credentials of DENTURIST. The NPI Number for Eui Young Suk is 1558577007 and holds a License No. DTDO918828 (Oregon).

The current practice location address for Eui Young Suk is 9234 Ne Glisan St, Portland, OR and can be reached out via phone at 503-254-4823 and via fax at 503-254-4823.

Location: 9234 Ne Glisan St, Portland, OR, 97220-4532
person
Provider Profile Details
NPI Number
1558577007
Provider Name
Eui Young Suk
Credential
DENTURIST
Provider Entity Type
Individual
Gender
Male
Address
9234 Ne Glisan St, Portland, OR, 97220-4532
Phone Number
503-254-4823
Fax Number
503-254-4823
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
069168 05 OR
institution
Provider Business Practice Location Address Details
Address
9234 Ne Glisan St
City
State
Zip
97220-4532
Phone Number
503-254-4823
Fax Number
503-254-4823
person
Provider Business Mailing Address Details
Address
9234 Ne Glisan St
City
State
Zip
97220-4532
Phone Number
503-254-4823
Fax Number
503-254-4823
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Denturist
Speciality
-
Taxonomy
License No.
DTDO918828 (Oregon)
Definition
Definition to come.
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