Chu, Cong-Qiu

Chu, Cong-Qiu is an individual health care provider with primary practice located at 3181 Sw Sam Jackson Park Rd Op 09, Portland OR 97239-3011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Chu, Cong-Qiu can be contacted via phone (503) 494-1793.

Contact Information

Primary practice address
3181 Sw Sam Jackson Park Rd Op 09 Portland OR 97239-3011
Phone: (503) 494-1793
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X MD00043852 Washington

Profile Details

NPI number 1780625780
LBN Legal business name Chu, Cong-Qiu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2006
Last updated Aug 31st, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1780625780 NPPES
Washington MEDICAID 8438772

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