Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chulachak Jon Sukachevin, MD

Individual provider Family Medicine Physician · NPI 1386644417

Chulachak Jon Sukachevin, MD is a Family Practice in Vancouver, Washington. Graduated from Loma Linda University School of Medicine in 1996, 30 years ago. Practices with Kaiser Foundation Health Plan of the Northwest, a 1,811-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland, Oregon and Washington.

Years since qualifying
30
Trained at
Loma Linda University School of Medicine
Licensed in
MD, OR, WA
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

7101 NE 137th Ave
Vancouver, WA 98682-4933
Phone: (800) 813-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 411 Ne 6th Ave, Camas, WA 98607-2037 — (360) 834-2863

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence MD 60173771 (WA)
Family Medicine Physician Taxonomy 207Q00000X · Licence D0054571 (MD)
Family Medicine Physician Taxonomy 207Q00000X · Licence MD15286 (OR)

Record details

NPI number1386644417
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 29, 2005
Last updated in NPPESMay 21, 2025
Certification dateMay 21, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolLOMA LINDA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1996 (30 years in practice)
Group practice Kaiser Foundation Health Plan Of The Northwest — 1811 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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