Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD25157 | OR |
Y | 207RH0003X | Hematology & Oncology | MD25157 | OR |
NPI | 1376592212 |
---|---|
Provider Name | Xinyu Steve Fu |
First Address | The Dalles, OR 97058-3317 |
Second Address | The Dalles, OR 97058-3317 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2006 |
Last Update Date | 29/11/2021 |