Individual
DR. SHARON W SU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
501 N GRAHAM ST, SUITE 315, PORTLAND, OR 97227
(503) 413-3090
(503) 413-3948
Mailing address
501 N GRAHAM ST STE 355, PORTLAND, OR 97227-2005
(503) 413-3926
(503) 413-3927
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
MD12760
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A91776
MEDICAL LICENSE
CA
01
—
MD12760
LICENSE
RI
01
—
MD157897
MEDICAL LICENSE
OR
Enumeration date
04/11/2007
Last updated
08/05/2018
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