Chanida Putwanphen Wilson

Nurse Practitioner · Albany, OR

Individual Active NPI

NPI number 1376279323

Practice location

1100 7TH Ave SW
Albany, OR 97321-1925
Phone
(541) 812-5600

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NPI record

NPI
1376279323
Entity type
Individual (Type 1)
Enumeration date
July 30, 2022
Last updated
June 20, 2023
Certified
June 20, 2023
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Nurse Practitioner Primary 363L00000X 202215285NP-PP OR
Nurse Practitioner 363L00000X 1061486 TX
Nurse Practitioner 363L00000X 61302785 WA

Mailing address

PO Box 1189
Corvallis, OR 97339-1189

Other practice locations (1)

  • 2222 Maroneal St Unit 1333, Houston, TX 77030-3266 · (210) 501-2688

About Chanida Wilson

Chanida Putwanphen Wilson is a healthcare provider registered in the NPI registry with the primary taxonomy Nurse Practitioner (code 363L00000X). The practice location is 1100 7TH Ave SW, Albany, OR 97321-1925. The NPI number 1376279323 was assigned on July 30, 2022 and the record was last updated on June 20, 2023.

Chanida Wilson lists 3 licenses in the registry: #202215285NP-PP (OR) for Nurse Practitioner; #1061486 (TX) for Nurse Practitioner; #61302785 (WA) for Nurse Practitioner. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Chanida Putwanphen Wilson?

The NPI number is 1376279323.

What is the phone number of Chanida Wilson?

The phone number listed for the practice location is (541) 812-5600.

Where is Chanida Wilson located?

1100 7TH Ave SW, Albany, OR 97321-1925.

What is the taxonomy code for Chanida Wilson?

The primary taxonomy code is 363L00000X – Nurse Practitioner; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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