Individual
MR. AN CONG VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 VILLA RD, NEWBERG, OR 97132-1857
(503) 538-7331
(503) 538-7333
Mailing address
11110 NW MONTREUX LANE, PORTLAND, OR 97229
(503) 646-8533
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD14665
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
208280
—
OR
Enumeration date
06/28/2006
Last updated
10/12/2010
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