Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Joel M Suckow-Md, LLC

Organization Community/Behavioral Health Agency · NPI 1700335536

Joel M Suckow-Md, LLC is a Community/Behavioral Health Agency in Keizer, Oregon. Works from 2 locations. Licensed in Oregon.

Licensed in
OR
In the registry since
2016
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

773 Linda Ave NE
Keizer, OR 97303-4549
Phone: (971) 808-2854
Fax: (888) 256-7959
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

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

Specialties & licences

Community/Behavioral Health Agency (primary) Taxonomy 251S00000X · Licence OR MD28195 (OR)

Record details

NPI number1700335536
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tracy Gonzalez — Credentialing Manager · (541) 941-7792
NPI enumeratedSeptember 21, 2016
Last updated in NPPESMarch 7, 2023
Certification dateDecember 11, 2020
Mailing address773 Linda Ave Ne, Keizer, OR 97303-4549

Other providers in Keizer