Provider Demographics
NPI:1295024727
Name:OUYANG, QIN (MD PHD)
Entity Type:Individual
Prefix:
First Name:QIN
Middle Name:
Last Name:OUYANG
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1708 S. YAKIMA AVE.,
Mailing Address - Street 2:SUITE 205
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405
Mailing Address - Country:US
Mailing Address - Phone:253-565-6777
Mailing Address - Fax:253-565-8777
Practice Address - Street 1:1708 S. YAKIMA AVE.,
Practice Address - Street 2:SUITE 205
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405
Practice Address - Country:US
Practice Address - Phone:253-565-6777
Practice Address - Fax:253-565-8777
Is Sole Proprietor?:No
Enumeration Date:2011-04-05
Last Update Date:2016-10-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD60644597207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism