Individual provider · Type 1 NPI

Chanida Putwanphen Wilson

Nurse Practitioner · Albany, OR

NPI number 1376279323 Active

Practice location

1100 7th Ave SW
Albany, OR 97321-1925

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations

  • 2222 Maroneal St Unit 1333, Houston, TX 77030-3266 · (210) 501-2688

Specialties and licenses

TaxonomyCodeLicense
Nurse Practitioner 363L00000X1061486 (TX)
Nurse Practitioner 363L00000X61302785 (WA)
Nurse Practitioner Primary 363L00000X202215285NP-PP (OR)

Nurse Practitioner: (1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance wit…

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About NPI 1376279323

Chanida Putwanphen Wilson's National Provider Identifier is 1376279323, issued on Jul 30, 2022. The primary taxonomy on file is Nurse Practitioner (363L00000X), and the practice location is in Albany, OR. The record was last updated on Jun 20, 2023.