Xiao, Geoffrey

Xiao, Geoffrey is an sole proprietor health care provider with primary practice located at 15895 Sw 72Nd Ave Ste 250 , Tigard OR 97224-7966. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Xiao, Geoffrey can be contacted via phone (503) 624-5630.

Contact Information

Primary practice address
15895 Sw 72Nd Ave Ste 250 Tigard OR 97224-7966
Phone: (503) 624-5630
Fax: (503) 624-9149
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X PA178428 Oregon

Profile Details

NPI number 1790132017
LBN Legal business name Xiao, Geoffrey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 17th, 2016
Last updated Nov 26th, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790132017 NPPES
Washington MEDICAID 2079317
Washington MEDICAID 500717752

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