Provider Demographics
NPI:1942702170
Name:WU, ZONGYI (DAOM, LAC)
Entity Type:Individual
Prefix:DR
First Name:ZONGYI
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:DAOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8885 SW CANYON RD STE 129
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-3447
Mailing Address - Country:US
Mailing Address - Phone:971-200-5960
Mailing Address - Fax:
Practice Address - Street 1:8885 SW CANYON RD STE 129
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-3447
Practice Address - Country:US
Practice Address - Phone:971-200-5690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-04
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORAC189559171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist