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Individual

THU BAO TRUNG VU

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2478 13TH ST SE, SALEM, OR 97302-2546
(503) 362-2481
(503) 375-8700
Mailing address
2478 13TH ST SE, SALEM, OR 97302-2546
(503) 362-2481
(503) 375-8700

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD175111
OR
208000000X
Pediatrics Physician
MD203049
LA
208000000X
Pediatrics Physician
MD60100602
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2197835
LA
05
500696788
OR
Enumeration date
08/31/2006
Last updated
09/26/2019
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