Individual
ELLEN T ANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
521 N YOUNG ST, KENNEWICK, WA 99336-7806
(509) 585-5222
(509) 585-5271
Mailing address
PO BOX 6128, KENNEWICK, WA 99336-0128
(509) 737-1880
(509) 737-1879
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00043493
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1184620759
—
WA
Enumeration date
06/28/2005
Last updated
12/08/2011
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