Individual
SU LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8407
(503) 413-6951
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-8407
(503) 413-6951
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A134157
CA
207R00000X
Internal Medicine Physician
Primary
MD182237
OR
Other
Enumeration date
03/28/2013
Last updated
07/21/2022
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