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Joel M Suckow-md, Llc
Community/Behavioral Health Agency in Keizer, Oregon
NPI 1700335536

Joel M Suckow-md, Llc is a Community/Behavioral Health Agency based in Keizer, OR. Joel M Suckow-md, Llc practices in Keizer, OR. The NPI Number for Joel M Suckow-md, Llc is 1700335536 and holds a License No. OR MD28195 (Oregon).

The current practice location address for Joel M Suckow-md, Llc is 773 Linda Ave Ne, Keizer, OR and can be reached out via phone at 971-808-2854 and via fax at 888-256-7959.

Location: 773 Linda Ave Ne, Keizer, OR, 97303-4549
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1700335536
Provider Name
Joel M Suckow-md, Llc
Credential
Provider Entity Type
Organization
Address
773 Linda Ave Ne, Keizer, OR, 97303-4549
Phone Number
971-808-2854
Fax Number
888-256-7959
Provider Enumeration Date
09/21/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
OR MD28195 01 OR OREGON STATE LICNESE
institution
Provider Business Practice Location Address Details
Address
773 Linda Ave Ne
City
Keizer
State
Oregon
Zip
97303-4549
Phone Number
971-808-2854
Fax Number
888-256-7959
person
Provider Business Mailing Address Details
Address
773 Linda Ave Ne
City
Keizer
State
Oregon
Zip
97303-4549
Phone Number
971-808-2854
Fax Number
888-256-7959
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
OR MD28195 (Oregon)
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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