MISS SANDY WENJUAN WU FNP NPI 1992963011

NPI Information

NPI: 1992963011
Provider Name: MISS SANDY WENJUAN WU, FNP
Classification: Nurse Practitioner - 363LF0000X
Entity Type: Individual

Specialization: Family

PECOS Registration: Yes

Address:
3653 SE 34TH AVE
PORTLAND, OR
ZIP 97202
Phone: (503) 988-4410
Get Directions

MISS Sandy Wenjuan Wu, FNP is a family nurse practitioner in Portland, OR with 17 years of experience. MISS Sandy Wenjuan Wu, FNP NPI is 1992963011. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year:2007

The provider's business location address is:

3653 SE 34TH AVE
PORTLAND, OR
ZIP 97202-034
Phone: (503) 988-4410

The NPI 1992963011 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/27/2008 and was last updated on 3/25/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LF0000X	Nurse Practitioner	Family	17939	CALIFORNIA	Yes
2	364SF0001X	Clinical Nurse Specialist	Family Health	201405287NP-PP	OREGON	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	096511	MEDICAID	OREGON
2	22959	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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