Provider Demographics
NPI:1346513215
Name:CHAU, LINH VU (RPH)
Entity Type:Individual
Prefix:
First Name:LINH
Middle Name:VU
Last Name:CHAU
Suffix:
Gender:M
Credentials:RPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12374 SE SYDNEY LN
Mailing Address - Street 2:
Mailing Address - City:HAPPY VALLEY
Mailing Address - State:OR
Mailing Address - Zip Code:97086-7106
Mailing Address - Country:US
Mailing Address - Phone:503-203-4086
Mailing Address - Fax:
Practice Address - Street 1:7730 SW BEAVERTON HILLSDALE HWY
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-2155
Practice Address - Country:US
Practice Address - Phone:503-203-4086
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-02-22
Last Update Date:2012-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR10050183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORRPH-10050OtherOREGON BOARD OF PHARMACY