IndividualActive
Jeremy Suchanski
NPI 1962762740 · Nurse's Aide · Clackamas, OR
Provider details
- NPI number
- 1962762740
- Entity type
- Individual
- Primary specialty
- Nurse's AideNursing Service Related Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 200211902CNA (OR)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Phone: (503) 571-8877
Approximate (ZIP-level) locationGet directions
Mailing address
10180 Se Sunnyside Rd
Clackamas, OR 97015-8970
Registry dates
- Enumerated
- 2012-05-25
- Last updated
- 2012-05-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.