Provider Demographics
NPI:1649455775
Name:VU, CUONG M (MD)
Entity type:Individual
Prefix:DR
First Name:CUONG
Middle Name:M
Last Name:VU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2480 LIBERTY ST NE
Mailing Address - Street 2:STE 180
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97301-8388
Mailing Address - Country:US
Mailing Address - Phone:503-881-4850
Mailing Address - Fax:503-371-0805
Practice Address - Street 1:2480 LIBERTY ST NE STE 180
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97301-8388
Practice Address - Country:US
Practice Address - Phone:503-371-1010
Practice Address - Fax:503-371-0805
Is Sole Proprietor?:No
Enumeration Date:2008-01-08
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP21922207R00000X
MA250849208VP0014X, 207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine