Whalio Doctors

NPI 1043766231

Michael Suchoski

Practitioner Orthotist Portland, OR

Practice location

Address
3101 SW Sam Jackson Park Rd, Portland, OR 97239-3009
Phone
(503) 221-3430
Mailing address
PO Box 865109, Orlando, FL 32886-5109

Registered specialties (2)

Orthotist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 222Z00000X Licence ABC02970 (OR)
Prosthetist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224P00000X Licence ABC02970 (OR)

Registry record

NPI
1043766231
Entity type
Individual
Sex (as registered)
Male
NPI issued
29 Aug 2016
Record last updated
29 Aug 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.