Individual
TOMMY VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Mailing address
1600 STATE ST, SALEM, OR 97301-4257
(503) 540-6300
(503) 540-6404
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA170181
OR
363AS0400X
Surgical Physician Assistant
Primary
PA17081
OR
Other
Enumeration date
10/01/2014
Last updated
08/16/2024
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