Provider Demographics
NPI:1073695201
Name:ROTHGERY, HSIAO-CHING DAISY X (RN,MS)
Entity Type:Individual
Prefix:MRS
First Name:HSIAO-CHING
Middle Name:DAISY
Last Name:ROTHGERY
Suffix:X
Gender:F
Credentials:RN,MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3143 KEVINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:EUGENE
Mailing Address - State:OR
Mailing Address - Zip Code:97405-1276
Mailing Address - Country:US
Mailing Address - Phone:541-682-7505
Mailing Address - Fax:541-682-3707
Practice Address - Street 1:3143 KEVINGTON AVE
Practice Address - Street 2:
Practice Address - City:EUGENE
Practice Address - State:OR
Practice Address - Zip Code:97405-1276
Practice Address - Country:US
Practice Address - Phone:541-682-7505
Practice Address - Fax:541-682-3707
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR163WC0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WC0400XNursing Service ProvidersRegistered NurseCase Management