Individual provider · Type 1 NPI

Melody W. Gu, PA-C, MSPAS

Medical Physician Assistant · Portland, OR

NPI number 1639835846 Active

Practice location

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011

Fax (503) 418-2208

Other practice locations

  • 3181 SW Sam Jackson Park Rd, Portland, OR 97239-3098 · (503) 494-8311

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000XPA207440 (OR)
Medical Physician Assistant Primary 363AM0700XPA207440 (OR)

Medical Physician Assistant: Definition to come...

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About NPI 1639835846

Melody W. Gu, PA-C, MSPAS's National Provider Identifier is 1639835846, issued on Nov 11, 2021. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Portland, OR. The record was last updated on Jan 18, 2022.