| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JAMES EDWARD SUITER | 1891982286 | 2024-09-07 |
James Edward Suiter is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1891982286. Registration indicates James Edward Suiter is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Gerontology, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Gerontology, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Physician Assistants & Advanced Practice Nursing Providers, Nurse Practitioner) (Nurse Practitioner: Family, ) (All Other Specialties & Provider Types, ) (Nurse Practitioner Family, Physician Assistants & Advanced Practice Nursing Providers) (Nurse Practitioner, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mr. James Edward Suiter FNP-BC / GNP-BC |
| Practice Office Address | 4560 SE INTERNATIONAL WAY STE 100 MILWAUKIE, OR US |
| Practice Office Telephone | 5419146421 |
| Practice Office Fax | 5039050897 |
| Mailing Address | 4560 SE INTERNATIONAL WAY STE 100 MILWAUKIE, OR 972224628 US |
| Business Telephone | 5419146421 |
| Business Fax | 5039050897 |
| Code | Practice | License No State |
|---|---|---|
| 363LG0600X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Gerontology All Other Specialties & Provider Types Nurse Practitioner Gerontology Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 200750074NP
OR |
| 363LF0000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse PractitionerAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner Nurse Practitioner: Family All Other Specialties & Provider Types Nurse Practitioner Family Physician Assistants & Advanced Practice Nursing Providers Nurse Practitioner | 200750074NP FNP
OR |
| 241776 | MEDICAID | OR | |
| 200880005DP | OTHER | OR | OREGON STATE BO |
| 200750074NP FNP | OTHER | OR | OREGON STATE BO |
| LIPA:JAMES E. S | OTHER | OR | LIPA |
| 12260994 | OTHER | CAQH |