Organization · Type 2 NPI

Joel M Suckow-Md, LLC

Community/Behavioral Health Agency · Keizer, OR

NPI number 1700335536 Active

Practice location

773 Linda Ave NE
Keizer, OR 97303-4549

Call (971) 808-2854 Map

Fax (888) 256-7959

Other practice locations

  • 1215 SW G St, Grants Pass, OR 97526-2544 · (541) 476-2373

Specialties and licenses

TaxonomyCodeLicense
Community/Behavioral Health Agency Primary 251S00000XOR MD28195 (OR)

Community/Behavioral Health Agency: 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 suppo…

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About NPI 1700335536

Joel M Suckow-Md, LLC's National Provider Identifier is 1700335536, issued on Sep 21, 2016. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Keizer, OR. The record was last updated on Mar 7, 2023.