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EUSTACIA SU M.D.
NPI 1659467116
Emergency Medicine in Portland, OR

Active since October 04, 2006
3181 SW SAM JACKSON PARK RD, CDW-EM, PORTLAND, OR 97239(503) 494-7500(503) 494-4997 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Eustacia Su M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EUSTACIA SU M.D. (NPI 1659467116) is an individual emergency medicine provider in Portland, Oregon, licensed in Oregon (MD13951) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1659467116
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameEUSTACIA SUCredential: M.D.
Location Address3181 SW SAM JACKSON PARK RD, CDW-EMPortland, OR 97239-2983
Mailing Address3181 Sw Sam Jackson Park Rd, Cdw-emPortland, OR 97239-2983 · (503) 494-7500 · Fax (503) 494-4997
Phone(503) 494-7500
Fax(503) 494-4997
Sole ProprietorNo
Enumeration DateOctober 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1659467116 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in OR · MD13951
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
3181 SW SAM JACKSON PARK RD, Portland, OR 97239
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Other Identifiers 1

Medicare UPINA53669OR

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Providence Health Plan.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DONALD RICHARD SULLIVAN MD
Internal Medicine (Pulmonary Disease)
3181 SW SAM JACKSON PARK RD, UHN67
PORTLAND, OR 97239
Multnomah County (503) 494-6949
MRS. ANJALEE NIX ROWE NP
Nurse Practitioner (Acute Care)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-3988
REEM HASAN MD
Internal Medicine
3181 SW SAM JACKSON PARK RD, PPV 350
PORTLAND, OR 97239
Multnomah County (503) 494-8562
DR. AMANDA D BALL PSY.D
Psychologist (Clinical)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
SUNSHINE WELSCH LMT
Massage Therapist
3181 SW SAM JACKSON PARK RD, 7D19
PORTLAND, OR 97239
Multnomah County (503) 494-8349
DR. ROBERT GENE MEALER M.D., PH.D.
Psychiatry & Neurology (Psychiatry)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-6176
GREGORY HALL MD
Radiology (Diagnostic Radiology)
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 418-0990
DR. BURHAN AHMED MIAN MD
Student in an Organized Health Care Education/Training Program
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 97239
Multnomah County (503) 494-8311

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eustacia Su's NPI number?

The NPI number for Eustacia Su is 1659467116. It was assigned to this individual provider in the NPPES registry on October 4, 2006.

Where is Eustacia Su located?

Eustacia Su practices at 3181 SW Sam Jackson Park Rd Cdw-Em, Portland, OR 97239. The listed phone number is (503) 494-7500.

What is Eustacia Su's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

What insurance does Eustacia Su accept?

Health plans from Providence Health Plan list Eustacia Su as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Eustacia Su was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.