Healthcare Provider Details

I. General information

NPI: 1982608923
Provider Name (Legal Business Name): SUE H OSHIRO-ZEIER NP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/08/2005
Last Update Date: 01/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1000 SE TECH CENTER DR SUITE 120
VANCOUVER WA
98683-5547
US

IV. Provider business mailing address

1000 SE TECH CENTER DR SUITE 120
VANCOUVER WA
98683-5547
US

V. Phone/Fax

Practice location:
  • Phone: 360-260-2773
  • Fax: 360-260-2217
Mailing address:
  • Phone: 360-260-2773
  • Fax: 360-260-2217

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP60158657
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: