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Contact Information

VITALIE D LUPU, MD
9155 SW BARNES RD
SUITE 317
PORTLAND, OR97225-6625
 Phone: 503-216-1150
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for VITALIE D LUPU · (Male)

NPI # 1609837913
Status Active
Credentials MD
Entity Individual
Enumeration date 03/29/2006
Last updated 03/19/2021 - About 5 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD26492
  • OR Medicaid 240081
Hospital affiliation(s)
  • PROVIDENCE PORTLAND MEDICAL CENTER - (Acute Care)
    4805 NE GLISAN STREET
    PORTLAND, OR 97213
  • PROVIDENCE SEASIDE HOSPITAL - (Critical Access)
    725 S WAHANNA ROAD
    SEASIDE, OR 97138
  • PROVIDENCE ST VINCENT MEDICAL CENTER - (Acute Care)
    9205 SW BARNES ROAD
    PORTLAND, OR 97225
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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