Chanida Putwanphen Wilson

NPI #1376279323 in Albany, Oregon

Provider Information

NPI Number
1376279323
Entity Type
Individual
Name
Chanida Putwanphen Wilson
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Nurse Practitioner
Enumeration Date
Jul 30, 2022
Last Updated
Jun 20, 2023

Practice Location

Address
1100 7TH AVE SW
City
Albany
State
Oregon
ZIP Code
97321-1925
Phone
(541) 812-5600

Specialties & Taxonomy Codes

Specialty
Nurse Practitioner

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