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General NPI Number Information
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NPI Number | 1225024722
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Entity Type | Individual
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Provider Name | JASON J SUH MD
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Gender | Male
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Dates
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Enumeration Date | 09/21/2005
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 834 SHERIDAN ST
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City | PORT TOWNSEND
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State | WA
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Zip | 98368-2443
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Country | US
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Telephone | 360-344-3091
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Fax | 360-344-3082
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Provider Business Mailing Address
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Address Line | 1155 MILL ST # M14
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City | RENO
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State | NV
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Zip | 89502-1576
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Country | US
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Telephone | 775-982-5262
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Fax | 775-982-5775
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25341
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | MD00034987
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License Number State | WA
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