Healthcare Provider Details

I. General information

NPI: 1225577950
Provider Name (Legal Business Name): JEFFREY TSAI D.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/14/2017
Last Update Date: 08/04/2025
Certification Date: 08/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

522 W RIVERSIDE AVE # 6341
SPOKANE WA
99201-0580
US

IV. Provider business mailing address

522 W RIVERSIDE AVE # 6341
SPOKANE WA
99201-0580
US

V. Phone/Fax

Practice location:
  • Phone: 425-245-5560
  • Fax:
Mailing address:
  • Phone: 425-245-5560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License NumberOP61607232
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberOP61607232
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: