Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | MD20482 | OR |
NPI | 1508802521 |
---|---|
Provider Name | Alice H Chou |
First Address | Eugene, OR 97401-8176 |
Second Address | Eugene, OR 97401-8176 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/06/2006 |
Last Update Date | 30/09/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
150088 | (05) | OR |
G44609 | (02) |