Provider / Organization | NPI | Date Certified |
---|---|---|
PENG CHU | 1740931237 | 2022-01-16 |
Peng Chu is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1740931237. Registration indicates Peng Chu is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care)
Entity Type | Individual |
Provider Name | Peng Chu |
Practice Office Address | 200 MULLINS DR LEBANON, OR US |
Practice Office Telephone | 5412590235 |
Mailing Address | 200 MULLINS DR LEBANON, OR 973553983 US |
Business Telephone | 5412590235 |
Code | Practice | License No State |
---|---|---|
390200000X PRIMARY | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care |