Individual
KATHERINE KUAN LIN LU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5909 SE 92ND AVE, PORTLAND, OR 97266-4642
(503) 771-0055
Mailing address
5909 SE 92ND AVE, PORTLAND, OR 97266-4642
(503) 771-0055
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
221900
OR
Other
Enumeration date
05/12/2023
Last updated
12/30/2024
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