Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | MD18907 | OR |
Y | 207RI0011X | Interventional Cardiology | MD18907 | OR |
NPI | 1063404739 |
---|---|
Provider Name | Dr. David E Wu |
First Address | Portland, OR 97209-2830 |
Second Address | Portland, OR 97210-3033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/08/2005 |
Last Update Date | 05/03/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
288086 | (05) | OR |
H24284 | (02) | OR |