Su, Sharon W

Su, Sharon W is an individual health care provider with primary practice located at 501 N Graham St Suite 315, Portland OR 97227. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Nephrology, which is considered as her primary health care specialty. Su, Sharon W can be contacted via phone (503) 413-3090.

Contact Information

Primary practice address
501 N Graham St Suite 315 Portland OR 97227
Phone: (503) 413-3090
Fax: (503) 413-3948
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Nephrology 2080P0210X MD12760 Rhode Island

Profile Details

NPI number 1164646485
LBN Legal business name Su, Sharon W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Aug 5th, 2018 - about 7 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 1164646485 NPPES
California Other A91776 MEDICAL LICENSE
California Other MD12760 MEDICAL LICENSE
California Other MD157897 MEDICAL LICENSE

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