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NPI Code Detail

MEDICARE: ANGELA ELIZABETH WU PA-C

MEDICARE: ANGELA ELIZABETH WU PA-C
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
1363AM0700XMedical Physician AssistantPA223702OR

General Provider Information

NPI Number : 1265237879
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA ELIZABETH WU PA-C
Provider Business Mailing Address
First Line : 7401 SW WASHO CT STE 100
Second Line :
City : TUALATIN
State : OR
Zip : 97062-8342
Country : US
Telephone Number : 503-656-9464
Fax Number :
Provider Business Practice Location Address
First Line : 7401 SW WASHO CT STE 100
Second Line :
City : TUALATIN
State : OR
Zip : 97062-8342
Country : US
Telephone Number : 503-656-9464
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/17/2025
Last Update Date : 03/31/2026

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Directions to “ ANGELA ELIZABETH WU PA-C” Practice Location

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