Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD61038846 | WA |
N | 111NI0900X | Internist | MD61038846 | WA |
Y | 207RX0202X | Medical Oncology | MD61038846 | WA |
NPI | 1164862785 |
---|---|
Provider Name | Diane Tseng |
First Address | Seattle, WA 98145-5095 |
Second Address | Seattle, WA 98109-4405 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2013 |
Last Update Date | 10/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1164862785 | (05) | WA |