Individual
VANESSA T VU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2801 MERCY DR, STE 200, ROSEBURG, OR 97470
(541) 677-2800
(541) 677-2820
Mailing address
PO BOX 430, WINCHESTER, OR 97495-0430
(541) 643-2764
(541) 677-2820
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD17297
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
028584
—
OR
01
—
1083697163
NPI
—
Enumeration date
11/22/2005
Last updated
11/14/2011
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