Individual
LEYEN Q VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
845 SW 30TH ST, CORVALLIS, OR 97331-8629
(541) 768-7700
Mailing address
PO BOX 1189, CORVALLIS, OR 97339-1189
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OL60019526
WA
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
DO215124
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2017774
—
WA
Enumeration date
10/21/2008
Last updated
06/20/2023
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