Basic Information
Provider Information
NPI: 1164806634
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: TSAI
FirstName: HSIANGFENG
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: APRN
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 346 MAINE ST
Address2: SUITE150
City: LAWRENCE
State: KS
PostalCode: 660441393
CountryCode: US
TelephoneNumber: 7858417297
FaxNumber: 7858560375
Practice Location
Address1: 317 E 39TH ST
Address2:  
City: VANCOUVER
State: WA
PostalCode: 986632233
CountryCode: US
TelephoneNumber: 3608310904
FaxNumber: 3604339917
Other Information
ProviderEnumerationDate: 07/15/2015
LastUpdateDate: 06/26/2019
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
363LP0808XAP60791138WAY Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health
363LP0808X76875KSN Physician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsych/Mental Health

No ID Information.


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