Healthcare Provider Details
I. General information
NPI: 1730266966
Provider Name (Legal Business Name): DIANE C. TSAI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/01/2006
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3620 N INTERSTATE AVE
PORTLAND OR
97227-1106
US
IV. Provider business mailing address
500 NE MULTNOMAH ST STE 100
PORTLAND OR
97232-2031
US
V. Phone/Fax
- Phone: 503-813-2000
- Fax:
- Phone: 800-813-2000
- Fax: 855-524-5255
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | MD174455 |
| License Number State | OR |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | G86931 |
| License Number State | CA |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2085R0001X |
| Taxonomy | Radiation Oncology Physician |
| License Number | MD00037303 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: