| Shin Shin Tang Phd. Inc | |
|
1339 Oak St Eugene OR 97401-3582 | |
| (541) 953-4969 | |
| Not Available |
| Full Name | Shin Shin Tang Phd. Inc |
|---|---|
| Speciality | Psychologist |
| Location | 1339 Oak St, Eugene, Oregon |
| Authorized Official Name and Position | Shin Shin Tang (PRESIDENT) |
| Authorized Official Contact | 5419534969 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Shin Shin Tang Phd. Inc 1339 Oak St Eugene OR 97401-3582 Ph: (541) 953-4969 | Shin Shin Tang Phd. Inc 1339 Oak St Eugene OR 97401-3582 Ph: (541) 953-4969 |
| NPI Number | 1366922346 |
|---|---|
| Provider Enumeration Date | 08/18/2018 |
| Last Update Date | 08/18/2018 |
| Medicare PECOS PAC ID | 2264761436 |
|---|---|
| Medicare Enrollment ID | O20190912003571 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366922346 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 2196 (Oregon) | Primary |
| Provider Name | Sharon S Tang |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1598062846 PECOS PAC ID: 1052571593 Enrollment ID: I20190909003658 |
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