NPIMap

Organization Active NPI

Family Practice PC Huong Luu MD

  • Primary Care Clinic/Center
  • Vancouver, WA
National Provider Identifier
1619215142
Registry record updated Jan 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
30582 Issued in WA
Legal business name
FAMILY PRACTICE PC HUONG LUU MD
Practice address
12004 NE Fourth Plain Blvd Ste G
Vancouver, WA 98682-5564
Phone
(360) 260-9736
Fax
(360) 260-8326
NPI assigned
Jan 17, 2013
Last updated
Jan 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Huong The Luu, M.D.NPI 1992849129
Title
President
Phone
(360) 260-9736

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 30582 WA Primary

Addresses

Primary practice location

12004 NE Fourth Plain Blvd Ste G
Vancouver, WA 98682-5564

Mailing address

12004 NE Fourth Plain Blvd Ste G
Vancouver, WA 98682-5564
Phone (360) 260-9736

National Provider Directory

National Provider Directory

Locations

12004 NE Fourth Plain Blvd
Ste G
Vancouver, WA 98682
Phone (360) 260-9736

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1358380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358380800000",
    "number": "1619215142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12004 NE FOURTH PLAIN BLVD STE G",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825564",
            "telephone_number": "360-260-9736",
            "fax_number": "360-260-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12004 NE FOURTH PLAIN BLVD STE G",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986825564",
            "telephone_number": "360-260-9736",
            "fax_number": "360-260-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY PRACTICE PC HUONG LUU MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-01-17",
        "last_updated": "2013-01-17",
        "status": "A",
        "authorized_official_last_name": "LUU",
        "authorized_official_first_name": "HUONG",
        "authorized_official_middle_name": "THE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-260-9736",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "30582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.