Provider Demographics
NPI:1487186789
Name:TSAI, WINNIE KIRKPATRICK (DO, MPH)
Entity Type:Individual
Prefix:
First Name:WINNIE
Middle Name:KIRKPATRICK
Last Name:TSAI
Suffix:
Gender:F
Credentials:DO, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 N TACOMA AVE APT 502
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2764
Mailing Address - Country:US
Mailing Address - Phone:310-245-1558
Mailing Address - Fax:
Practice Address - Street 1:320 N TACOMA AVE APT 502
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2764
Practice Address - Country:US
Practice Address - Phone:310-245-1558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-28
Last Update Date:2019-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAOL60973319207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine