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1851535710

NPI Code Detail

MEDICARE: CARLOS JOSE SUAREZ VALENCIA MD

MEDICARE: CARLOS JOSE SUAREZ VALENCIA MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207SM0001X	Molecular Genetic Pathology (Medical Genetics) Physician	A125304	CA
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	A125304	CA
3	2083C0008X	Clinical Informatics Physician	A125304	CA
4	207ZP0101X	Anatomic Pathology Physician	MD228273	OR

General Provider Information

NPI Number	:	1851535710
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLOS JOSE SUAREZ VALENCIA MD

Provider Business Mailing Address
First Line	:	1400 SW 5TH AVE STE 500
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97201-5537
Country	:	US
Telephone Number	:	866-617-6855
Fax Number	:	503-346-8015

Provider Business Practice Location Address
First Line	:	3181 SW SAM JACKSON PARK RD
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97239-3011
Country	:	US
Telephone Number	:	503-494-8276
Fax Number	:	503-494-2025

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2009
Last Update Date	:	02/03/2026

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Directions to “ CARLOS JOSE SUAREZ VALENCIA MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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