Individual
EN-HAW WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 418-0990
(503) 494-4982
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-1213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD204966
OR
2085R0202X
Diagnostic Radiology Physician
MD61069008
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1427507458
—
WA
Enumeration date
10/03/2016
Last updated
08/24/2021
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