Individual
DR. IVY HSIEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1716 WILLIAMS HWY, GRANTS PASS, OR 97527-5661
(541) 474-6053
(541) 474-4527
Mailing address
1701 NE 7TH ST, GRANTS PASS, OR 97526-1319
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
DO222649
OR
390200000X
Student in an Organized Health Care Education/Training Program
125-
IL
Other
Enumeration date
04/02/2021
Last updated
10/22/2024
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