Individual
DR. SHI-WEI SAMUEL HWU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
18040 SW LOWER BOONES FERRY RD STE 304, TIGARD, OR 97224-7259
(503) 216-0700
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101260073
VA
207Q00000X
Family Medicine Physician
MD045407
DC
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD045407
DC
207QS0010X
Sports Medicine (Family Medicine) Physician
MD212941
OR
390200000X
Student in an Organized Health Care Education/Training Program
256285
MA
Other
Enumeration date
06/03/2013
Last updated
04/21/2023
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