Healthcare Provider Details

I. General information

NPI: 1073695201
Provider Name (Legal Business Name): HSIAO-CHING DAISY ROTHGERY X RN,MS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3143 KEVINGTON AVE
EUGENE OR
97405-1276
US

IV. Provider business mailing address

3143 KEVINGTON AVE
EUGENE OR
97405-1276
US

V. Phone/Fax

Practice location:
  • Phone: 541-682-7505
  • Fax: 541-682-3707
Mailing address:
  • Phone: 541-682-7505
  • Fax: 541-682-3707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WC0400X
TaxonomyCase Management Registered Nurse
License Number
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: