Provider Demographics
NPI:1770599045
Name:WATSON, EMILY HOOI (MD)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:HOOI
Last Name:WATSON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:EMILY
Other - Middle Name:ELIZABETH
Other - Last Name:HOOI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:4855 SW WESTERN AVE
Mailing Address - Street 2:
Mailing Address - City:BEAVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97005-3460
Mailing Address - Country:US
Mailing Address - Phone:512-554-5674
Mailing Address - Fax:503-286-6879
Practice Address - Street 1:4855 SW WESTERN AVE
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97005-3460
Practice Address - Country:US
Practice Address - Phone:512-554-5674
Practice Address - Fax:503-286-6879
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2013-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL8735207V00000X
ORMD157573207V00000X
WAMD60284336207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX165543301Medicaid
TX165543302Medicaid
TXP00309876Medicare PIN
TX8K1377Medicare PIN
TX165543301Medicaid