Eustacia Su is a Emergency Medicine in Portland, Oregon. Eustacia Su practices all healthcare services and medical treatments related to Emergency Medicine. The NPI Number for Eustacia Su is 1659467116. The last update date is 2007-07-08.
Eustacia Su's current location address is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. You can contact this provider via phone number 5034947500 and fax number 5034944997. The mailing address for Eustacia Su is 3181 Sw Sam Jackson Park Rd, Portland, Oregon. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eustacia Su |
|---|---|
| Address | 3181 Sw Sam Jackson Park Rd, Portland, Oregon |
| Phone Number | 5034947500 |
| Fax Number | 5034944997 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1659467116 |
|---|---|
| Provider Enumeration Date | 2006-10-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3181 Sw Sam Jackson Park Rd |
|---|---|
| City | Portland |
| State | Oregon (OR) |
| Post Code | 972392983 |
| Phone Number | 5034947500 |
| Fax Number | 5034944997 |
Provider's Primary Taxonomy Detail
| Speciality | Emergency Medicine |
|---|---|
| Taxonomy | 207P00000X |
| Licence No | MD13951 |
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Definition: An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Eustacia Su by the Centers for Medicare & Medicaid Services?
The Eustacia Su has been assigned the NPI (National Provider Identifier) 1659467116 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Eustacia Su is physically located?
The Eustacia Su is physically situated at the following address: 3181 Sw Sam Jackson Park Rd, Portland, OR, 972392983.
What is the Eustacia Su's area of specialization and corresponding taxonomy classification?
The Eustacia Su's specialty field is Emergency Medicine, and it falls under the taxonomy code 207P00000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659467116 to Eustacia Su?
The Centers for Medicare & Medicaid Services originally issued the 1659467116 to Eustacia Su on 2006-10-04.
As of what date was the information pertaining to Eustacia Su, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Eustacia Su, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.
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