Wu, June Kwan

Wu, June Kwan is an individual health care provider with primary practice located at 2150 Ne Division St Suite 103, Gresham OR 97030-5813. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Wu, June Kwan can be contacted via phone (503) 661-4200.

Contact Information

Primary practice address
2150 Ne Division St Suite 103 Gresham OR 97030-5813
Fax: (503) 666-0566
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD17181 Oregon

Profile Details

NPI number 1417008517
LBN Legal business name Wu, June Kwan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2007
Last updated Jul 8th, 2007 - about 17 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 1417008517 NPPES
Oregon MEDICAID 038427

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