Healthcare Provider Details

I. General information

NPI: 1215270244
Provider Name (Legal Business Name): TIFFANY HSEIH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2013
Last Update Date: 04/15/2021
Certification Date: 04/15/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10452 SILVERDALE WAY NW
SILVERDALE WA
98383-9411
US

IV. Provider business mailing address

10452 SILVERDALE WAY NW
SILVERDALE WA
98383-9411
US

V. Phone/Fax

Practice location:
  • Phone: 360-307-7300
  • Fax:
Mailing address:
  • Phone: 360-307-7300
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207W00000X
TaxonomyOphthalmology Physician
License Number130956
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: