Provider Demographics
NPI:1801087028
Name:WEI, TSAO TE (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TSAO TE
Middle Name:
Last Name:WEI
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:RICHARD
Other - Middle Name:TSAO TE
Other - Last Name:WEI
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:4280 MERIDIAN ST STE 120
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-6464
Mailing Address - Country:US
Mailing Address - Phone:360-734-4300
Mailing Address - Fax:360-734-2128
Practice Address - Street 1:4280 MERIDIAN ST STE 120
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-6464
Practice Address - Country:US
Practice Address - Phone:360-734-4300
Practice Address - Fax:360-734-2128
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-05
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA12110R208100000X
WAMD60036902207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
LAG19225OtherUPIN