MEDICARE: BARON UZOCHUKWU MD, MPH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD.MD.70098669	WA

General Provider Information

NPI Number	:	1285338293
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARON UZOCHUKWU MD, MPH

Provider Business Mailing Address
First Line	:	11220 NE 14TH CT
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98685-4024
Country	:	US
Telephone Number	:	541-602-6672
Fax Number	:

Provider Business Practice Location Address
First Line	:	2525 NE 139TH ST
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98686-2719
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/27/2023
Last Update Date	:	06/02/2026

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