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Individual

MR. ADRIAN CHU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNA, RN

Contact information

Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239
(503) 494-8572
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7641
(503) 494-8368

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
201042973RN
OR
163W00000X
Registered Nurse
RN60633738
WA
367500000X
Certified Registered Nurse Anesthetist
Primary
201904920CRNA
OR

Other

Enumeration date
03/06/2019
Last updated
12/13/2019
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