Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RC0000X | Internist - Cardiovascular Disease | 036133741 | IL |
N | 207RC0000X | Internist - Cardiovascular Disease | MD182537 | OR |
Y | 207RI0011X | Interventional Cardiology | MD182537 | OR |
NPI | 1124281423 |
---|---|
Provider Name | Jane Tuyet Luu |
First Address | Portland, OR 97232-2686 |
Second Address | Portland, OR 97210-5104 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/07/2008 |
Last Update Date | 17/03/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2081769 | (05) | WA |
500727170 | (05) | OR |