Saron Theresa Sufuentes, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

Practice address

578 NW Marlborough Ave
Portland, OR 97210-3104

Phone

(503) 481-9681

NPI assigned

Dec 1, 2017

Last updated

Dec 1, 2017By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Saron Thersa Baker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512086400000",
    "number": "1396250122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "578 NW MARLBOROUGH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103104",
            "telephone_number": "503-481-9681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "578 NW MARLBOROUGH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972103104",
            "telephone_number": "503-481-9681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUFUENTES",
        "first_name": "SARON",
        "middle_name": "THERESA",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-01",
        "last_updated": "2017-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "OR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARON",
            "last_name": "BAKER",
            "middle_name": "THERSA",
            "prefix": "MRS.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Roksolana Sudyk, MD
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• Veronica Sue
• Ka Hei Suen
• Rachel Suen
• Breanna Suguitan
• Hyun Sook Suh, MD
• Judy Suh, MD
• Eric Barton Suhler, MD
• Naomi G Suhler, NP

• Surgical Physician Assistant in Portland, OR
• Providers in Portland, OR by specialty
• Surgical Physician Assistant in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.