Wilson, Chanida Putwanphen

Wilson, Chanida Putwanphen is an sole proprietor health care provider with primary practice located at 1100 7Th Ave Sw , Albany OR 97321-1925. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Wilson, Chanida Putwanphen can be contacted via phone (541) 812-5600.

Contact Information

Primary practice address
1100 7Th Ave Sw Albany OR 97321-1925
Phone: (541) 812-5600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 1061486 Texas
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 61302785 Washington
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 202215285NP-PP Oregon

Profile Details

NPI number 1376279323
LBN Legal business name Wilson, Chanida Putwanphen
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 30th, 2022
Last updated Jun 20th, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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