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Individual

CHARLES Y HU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
2801 N GANTENBEIN AVE, PORTLAND, OR 97227-1623
(503) 413-8407
(503) 413-6951
Mailing address
1650 NW NAITO PKWY, STE 185, PORTLAND, OR 97209-2535
(503) 525-5600
(971) 983-5326

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD24528
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
297642
OR
Enumeration date
04/19/2007
Last updated
03/27/2020
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