Individual
DR. JIAN XU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-4222
Mailing address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(360) 571-4222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
0101256904
VA
207Q00000X
Family Medicine Physician
MD210120
OR
207Q00000X
Family Medicine Physician
Primary
MD61242356
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101256904
VIRGINIA MEDICAL LICENSE
VA
01
—
MD210120
OREGON MEDICAL LICENSE
OR
01
—
MD61242356
WASHINGTON MEDICAL LICENSE
WA
Enumeration date
06/13/2013
Last updated
03/07/2023
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