Healthcare Provider Details

I. General information

NPI: 1972421519
Provider Name (Legal Business Name): ESTHER IVANNA TSAI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 HOSPITAL AVE
DANBURY CT
06810-6077
US

IV. Provider business mailing address

1115 SE 201ST AVE
CAMAS WA
98607-9559
US

V. Phone/Fax

Practice location:
  • Phone: 203-739-8105
  • Fax: 203-749-9092
Mailing address:
  • Phone: 360-608-8093
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number7600
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: