Provider Demographics
NPI:1205985447
Name:HSIAO, AMBER F (MD)
Entity type:Individual
Prefix:
First Name:AMBER
Middle Name:F
Last Name:HSIAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 34584
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1584
Mailing Address - Country:US
Mailing Address - Phone:509-241-7349
Mailing Address - Fax:509-241-7628
Practice Address - Street 1:209 MARTIN LUTHER KING JR WAY
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4265
Practice Address - Country:US
Practice Address - Phone:253-596-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-09
Last Update Date:2008-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000429052085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8367195Medicaid
WA8804879Medicare ID - Type UnspecifiedPIERCE COUNTY MEDICARE
WA8804877Medicare ID - Type UnspecifiedKING COUNTY MEDICARE
WA8804883Medicare ID - Type UnspecifiedSNOHOMISH COUNTY MEDICARE
WAG8872383Medicare PIN
WA8804881Medicare ID - Type UnspecifiedTHURSTON COUNTY MEDICARE
WA8804885Medicare ID - Type UnspecifiedKITSAP COUNTY MEDICARE
WA8367195Medicaid