Dr SUPRANEE NOPACHAI MD is a female medical professional, specializing in Pediatric Medicine. She graduated in 1998 from Southern Illinois University School Of Medicine.
CREEKSIDE MEDICAL PS
900 NE 139TH ST
SUITE 202
VANCOUVER
WA
986852513
Tel: 3605669355
| Npi | 1033256581 |
| Pac Id | 6305815606 |
| Professional Enrollment Id | I20041001000837 |
| Last Name | NOPACHAI |
| First Name | SUPRANEE |
| Middle Name | |
| Suffix | |
| Gender | F |
| Credential | MD |
| Medical School Name | SOUTHERN ILLINOIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | PEDIATRIC MEDICINE |
| Secondary Specialty 1 | INTERNAL MEDICINE |
| Secondary Specialty 2 | |
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| Secondary Specialty 4 | |
| All Secondary Specialties | INTERNAL MEDICINE |
| Organization Legal Name | CREEKSIDE MEDICAL PS |
| Group Practice Pac Id | 4082683388 |
| Number Of Group Practice Members | 8 |
| Line 1 Street Address | 900 NE 139TH ST |
| Line 2 Street Address | SUITE 202 |
| Marker Of Address Line 2 Suppression | |
| City | VANCOUVER |
| State | WA |
| Zip Code | 986852513 |
| Phone Number | 3605669355 |
| Hospital Affiliation Ccn 1 | 500150 |
| Hospital Affiliation Lbn 1 | LEGACY SALMON CREEK HOSPITAL |
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| Professional Accepts Medicare Assignment | Y |
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