Provider Demographics
NPI:1467816538
Name:HO CHING, KENDRA MALIA (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KENDRA
Middle Name:MALIA
Last Name:HO CHING
Suffix:
Gender:F
Credentials:NP-C
Other - Prefix:MRS
Other - First Name:KENDRA
Other - Middle Name:MALIA
Other - Last Name:NIUMATALOLO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:NP-C
Mailing Address - Street 1:1455 NW IRVING ST STE 600
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97209-2277
Mailing Address - Country:US
Mailing Address - Phone:808-277-7647
Mailing Address - Fax:
Practice Address - Street 1:4540 UNIVERSITY WAY NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4511
Practice Address - Country:US
Practice Address - Phone:844-966-6777
Practice Address - Fax:866-859-8195
Is Sole Proprietor?:No
Enumeration Date:2016-04-05
Last Update Date:2018-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI77173163W00000X
HI2094363LF0000X
WAAP60889509363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No163W00000XNursing Service ProvidersRegistered Nurse