Individual
MISS SANDY WENJUAN WU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
3653 SE 34TH AVE, PORTLAND, OR 97202-3034
(503) 988-4410
Mailing address
421 SW OAK ST, STE.210, PORTLAND, OR 97204-1817
(503) 988-7468
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
17939
CA
364SF0001X
Family Health Clinical Nurse Specialist
201405287NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
096511
—
OR
05
—
22959
—
OR
Enumeration date
05/27/2008
Last updated
03/25/2021
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