Provider Demographics
NPI:1811093214
Name:TSANG, HOWARD W (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:HOWARD
Middle Name:W
Last Name:TSANG
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2986 KUEBLER RD S
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97302-9202
Mailing Address - Country:US
Mailing Address - Phone:503-362-5242
Mailing Address - Fax:503-362-6771
Practice Address - Street 1:2168 LANCASTER DR NE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97305-1227
Practice Address - Country:US
Practice Address - Phone:503-362-5242
Practice Address - Fax:503-362-6771
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR20428174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORG225209Medicaid
ORG225209Medicaid
ORF33171Medicare UPIN