Provider Demographics
NPI:1982608923
Name:OSHIRO-ZEIER, SUE H (NP)
Entity Type:Individual
Prefix:
First Name:SUE
Middle Name:H
Last Name:OSHIRO-ZEIER
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1000 SE TECH CENTER DR
Mailing Address - Street 2:SUITE 120
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-5547
Mailing Address - Country:US
Mailing Address - Phone:360-260-2773
Mailing Address - Fax:360-260-2217
Practice Address - Street 1:1000 SE TECH CENTER DR
Practice Address - Street 2:SUITE 120
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-5547
Practice Address - Country:US
Practice Address - Phone:360-260-2773
Practice Address - Fax:360-260-2217
Is Sole Proprietor?:No
Enumeration Date:2005-06-08
Last Update Date:2016-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAAP60158657363LF0000X
OR200250116NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
Provider Identifiers
StateIdentifier IDID TypeIssuer
ORANP0069OtherWORKERS COMP
OR000105Medicaid
WAG8940239Medicare PIN
S59312Medicare UPIN