Individual
HSIAO-CHI DAVID WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4920 N INTERSTATE AVE, PORTLAND, OR 97217-3653
(503) 215-3300
(503) 215-3350
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
(503) 215-6644
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
38200
CO
207Q00000X
Family Medicine Physician
Primary
MD26926
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026492
—
OR
05
—
81180047
—
CO
Enumeration date
10/11/2005
Last updated
11/12/2021
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