MEDICARE: XINGWEI DAVID SUI MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RX0202X	Medical Oncology Physician	MD00042261	WA

General Provider Information

NPI Number	:	1568469534
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XINGWEI DAVID SUI MD

Provider Business Mailing Address
First Line	:	PO BOX 3360
Second Line	:	SUITE 200
City	:	PORTLAND
State	:	OR
Zip	:	97208-3360
Country	:	US
Telephone Number	:	360-754-3934
Fax Number	:

Provider Business Practice Location Address
First Line	:	4525 3RD AVE SE
Second Line	:	SUITE 200
City	:	LACEY
State	:	WA
Zip	:	98503-1010
Country	:	US
Telephone Number	:	360-754-3934
Fax Number	:	360-943-8023

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2005
Last Update Date	:	04/07/2021

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