Adrian Chu, CRNA, RN
Nurse Anesthetist, Certified Registered in Portland, OR. Individual provider (NPI-1).
NPI number1669930830
StatusActive
Last updated in NPPESDec 13, 2019
Details
- NPI
- 1669930830
- Entity type
- Individual (NPI-1)
- Name
- Mr. Adrian Chu
- Credential
- CRNA, RN
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Mar 6, 2019
- Certification date
- Dec 13, 2019
- Last updated
- Dec 13, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 367500000X | Nurse Anesthetist, Certified Registered | 201904920CRNA | OR | Yes |
| 163W00000X | Registered Nurse | 201042973RN | OR | |
| 163W00000X | Registered Nurse | RN60633738 | WA |
Practice location
3181 Sw Sam Jackson Park RdPortland, OR 97239
Phone 503-494-8572
Mailing address
3181 Sw Sam Jackson Park RdPortland, OR 97239-3011
Phone 503-494-7641 · Fax 503-494-8368
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