Search › Oregon › 101YA0400X
Glen Suchanek, CADCI, CRM
NPI 1588221691 · on the registry since 2019
Practice
- Address
- 3811 Se Concord Rd
Oak Grove, OR 97267 - Phone
- (971) 269-6812
- Fax
- (503) 208-3186
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Licence states on file
- OR
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-05-23
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Oregon