CHANIDA PUTWANPHEN WILSON
NPI 1376279323
Nurse Practitioner in Albany, OR

Q: What is Chanida Wilson's NPI number?

The NPI number for Chanida Wilson is 1376279323. It was assigned to this individual provider in the NPPES registry on July 30, 2022.

Q: What is Chanida Wilson's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Q: When was this NPI record last updated?

The NPPES record for Chanida Wilson was last updated on June 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since July 30, 2022

1100 7TH AVE SW, ALBANY, OR 97321(541) 812-5600 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 20, 2023, Jul 30, 2022 (2 updates tracked since 2022).

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About Chanida Putwanphen Wilson NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHANIDA PUTWANPHEN WILSON (NPI 1376279323) is an individual nurse practitioner in Albany, Oregon, licensed in Oregon (202215285NP-PP) and active in the NPI registry since July 2022. She maintains a secondary practice location in Houston.

NPPES Registry Identity

NPI1376279323

Entity TypeIndividualFemale

Primary Taxonomy363L00000X

Provider Legal NameCHANIDA PUTWANPHEN WILSON

Location Address1100 7TH AVE SWAlbany, OR 97321-1925

Mailing AddressPo Box 1189Corvallis, OR 97339-1189

Phone(541) 812-5600

Sole ProprietorYes

Enumeration DateJuly 30, 2022

Last NPPES UpdateJune 20, 20232 updates tracked since enumeration

NPPES CertifiedJune 20, 2023

✔ NPI 1376279323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363L00000X

Licenses✔ Licensed in OR · 202215285NP-PP✔ Licensed in TX · 1061486✔ Licensed in WA · 61302785

Definition

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

1100 7TH AVE SW, Albany, OR 97321

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Secondary Practice Location 1

Location 12222 Maroneal St Unit 1333Houston, TX 77030-3266 · Phone (210) 501-2688

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. VIRGINIA J TAYLOR CFNP

Nurse Practitioner (Family)