Nga Vu, FNP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

093000591N1 Issued in OR

Practice address

9775 SE Sunnyside Rd
Suite 200
Clackamas, OR 97015-5739

Phone

(503) 654-8417

Fax

(503) 654-8218

NPI assigned

Oct 25, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453248000000",
    "number": "1902896681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 NE 20TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972124640",
            "telephone_number": "503-807-6657"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9775 SE SUNNYSIDE RD",
            "address_2": "SUITE 200",
            "city": "CLACKAMAS",
            "state": "OR",
            "postal_code": "970155739",
            "telephone_number": "503-654-8417",
            "fax_number": "503-654-8218"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "NGA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-25",
        "last_updated": "2016-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "OR",
            "license": "093000591N1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "126370",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alec W. Volvovic, CRNA
• Justin Edward Vranic, MD
• Linda Vu-Holbrook, MD
• Chloe Vu, PHARM.D, RPH
• Luan Kinh Vu, PHARMD
• Tristen Tran Vu
• Benjamin Daniel Wachsmuth, M.D.
• Steven H Wacker
• Megan Jean Wackford
• Leland Spencer Waddoups, PHARMD

• Nurse Practitioner in Clackamas, OR
• Providers in Clackamas, OR by specialty
• Nurse Practitioner in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2016; 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.