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HSIAO, AMBER FONG       
This verification service provides current data extracted by the Oklahoma State Board of Medical Licensure and Supervision (OSBMLS) from its own database. The data enclosed in the green box below is provided by and controlled entirely by the OSBMLS and therefore constitutes a primary source verification of licensure status as authentic as a direct inquiry to the OSBMLS. NPI# and hospital privileges (if any) are provided by the licensee and not verified.
Practice Address: GROUP HEALTH PERMANENTE
209 MARTIN LUTHER KING JR. WAY
TACOMA WA 98405

Address last updated on 12/30/2008
Phone #: (253) 596-3470
Fax #: (253) 596-3470
County: NOT OKLAHOMA
License: 22683
Dated: 1/17/2002
Expires: 1/1/2010
License Type: Medical Doctor
Specialty: Diagnostic Radiology
Status: Inactive
Status Class: Expired License
Restricted to:
Registered to Dispense: NO
Medical School: NWU, Feinberg Sch of Med, Chicago Il 60611
Graduated: 5 / 1996
CME Year: 2011
Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.
All information below is entered by the licensee but not verified by the Oklahoma Medical Board.
Certifications: AMERICAN BOARD OF RADIOLOGY
New Patients: Contact licensee
Medicaid: Contact licensee
Medicare: Contact licensee
   
HMO/PPO: None listed
Hospital Privileges: None listed
Locations: Hours: Languages:
GROUP HEALTH PERMANENTE
209 MARTIN LUTHER KING JR. WAY
TACOMA WA 98405

Phone #: (253) 596-3470
Fax #: (253) 596-3470
Mon:
Tue:
Wed:
Thu:
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Sat:
Sun:

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