Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Su Wang, MD

Individual provider Clinical Pathology/Laboratory Medicine Physician · NPI 1730300641

Dr. Su Wang, MD is a Pathology in Portland, Oregon. Qualified in 1983, 43 years ago. Practices with Providence Health and Services - Oregon, a 61-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
43
Licensed in
OR
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

9205 SW Barnes Rd
Portland, OR 97225-6603
Phone: (503) 215-4323
Fax: (503) 215-0297
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Pathology/Laboratory Medicine Physician (primary) Taxonomy 207ZP0105X · Licence MD24780 (OR)

Record details

NPI number1730300641
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2007
Last updated in NPPESJuly 9, 2007
Mailing addressPo Box 3396, Portland, OR 97208-3396

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 1983 (43 years in practice)
Group practice Providence Health And Services - Oregon — 61 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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