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Individual

ANNIE SHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
3530 N VANCOUVER AVE STE 400, PORTLAND, OR 97227-1798
(503) 249-8851
(503) 282-3409
Mailing address
4822 SW WESTERN AVE APT 454, BEAVERTON, OR 97005-3471

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA227545
OR

Other

Enumeration date
10/02/2025
Last updated
01/23/2026
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