Provider Demographics
NPI:1194090811
Name:VU, HUY D
Entity type:Individual
Prefix:MR
First Name:HUY
Middle Name:D
Last Name:VU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10130 SW NIMBUS AVE STE D4
Mailing Address - Street 2:
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223-4335
Mailing Address - Country:US
Mailing Address - Phone:503-548-8287
Mailing Address - Fax:
Practice Address - Street 1:10130 SW NIMBUS AVE STE D4
Practice Address - Street 2:
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223-4335
Practice Address - Country:US
Practice Address - Phone:503-548-8287
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-13
Last Update Date:2012-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes156FX1800XEye and Vision Services ProvidersTechnician/TechnologistOptician