Individual
GRACE L WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2730 S MOODY AVE, PORTLAND, OR 97201-5042
(503) 494-3633
Mailing address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-3633
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA212383
OR
363AM0700X
Medical Physician Assistant
—
—
Other
Enumeration date
02/21/2021
Last updated
12/19/2024
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