Provider Demographics
NPI:1760602569
Name:WU, DIANA H (MD)
Entity Type:Individual
Prefix:DR
First Name:DIANA
Middle Name:H
Last Name:WU
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3303 SW BOND AVE
Mailing Address - Street 2:CH10F
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4501
Mailing Address - Country:US
Mailing Address - Phone:503-418-3744
Mailing Address - Fax:503-418-3708
Practice Address - Street 1:3303 SW BOND AVE
Practice Address - Street 2:CH10F
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4501
Practice Address - Country:US
Practice Address - Phone:503-418-3744
Practice Address - Fax:503-418-3708
Is Sole Proprietor?:No
Enumeration Date:2007-04-26
Last Update Date:2013-11-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35-091901207V00000X
MI4301084032207V00000X
ORMD154589207V00000X, 207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology