Basic Information
Provider Information
NPI: 1184857476
EntityType: 2
ReplacementNPI:  
OrganizationName: EMILY HU, M.D., P.C.
LastName:  
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Mailing Information
Address1: 16865 BOONES FERRY RD.
Address2: SUITE 101
City: LAKE OSWEGO
State: OR
PostalCode: 970355281
CountryCode: US
TelephoneNumber: 5036755170
FaxNumber: 5036996939
Practice Location
Address1: 16865 BOONES FERRY RD
Address2: SUITE 101
City: LAKE OSWEGO
State: OR
PostalCode: 970355280
CountryCode: US
TelephoneNumber: 5036755170
FaxNumber: 5036996939
Other Information
ProviderEnumerationDate: 09/02/2009
LastUpdateDate: 09/02/2009
NPIDeactivationReasonCode:  
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ProviderGenderCode:  
AuthorizedOfficialLastName: HU
AuthorizedOfficialFirstName: EMILY
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: PRESIDENT
AuthorizedOfficialTelephone: 5036755170
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: DR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential: MD
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
208200000X  Y193400000X SINGLE SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPlastic Surgery 

No ID Information.


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