Individual
DR. VITALIE DIONIS LUPU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9155 SW BARNES RD, SUITE 317, PORTLAND, OR 97225-6625
(503) 216-1150
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 216-1150
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD26492
OR
2084N0600X
Clinical Neurophysiology Physician
MD26492
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
240081
—
OR
Enumeration date
03/29/2006
Last updated
03/19/2021
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