Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 363LP0200X | Nurse Practitioner - Pediatrics | 200550140NP | OR |
Y | 363LP2300X | Nurse Practitioner - Primary Care | 200550140NP | OR |
NPI | 1013507581 |
---|---|
Provider Name | Huei Ling Tsai |
First Address | Albany, OR 97321-6514 |
Second Address | Albany, OR 97321-6514 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/01/2021 |
Last Update Date | 09/02/2021 |