Provider Demographics
NPI:1538157946
Name:XIAO-LI, HELEN H (MD)
Entity type:Individual
Prefix:
First Name:HELEN
Middle Name:H
Last Name:XIAO-LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HELEN
Other - Middle Name:HONG
Other - Last Name:XIAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 850
Mailing Address - Street 2:
Mailing Address - City:PORT ANGELES
Mailing Address - State:WA
Mailing Address - Zip Code:98362-0146
Mailing Address - Country:US
Mailing Address - Phone:360-683-9895
Mailing Address - Fax:360-582-5614
Practice Address - Street 1:844 N 5TH AVE
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-3045
Practice Address - Country:US
Practice Address - Phone:360-683-9895
Practice Address - Fax:360-685-8256
Is Sole Proprietor?:No
Enumeration Date:2005-10-10
Last Update Date:2024-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY224634-32085R0001X
WAMD616195122085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY2177E1OtherEMPIRE BCBS-BRONX #
NY837305OtherHEALTH NET PROVIDER #
NY920007363OtherRAILROAD MCARE PROV. #
NY4099632OtherGHI PROVIDER NUMBER
NY2177E2OtherEMPIRE BCBS-YONKERS #
NY39A0061OtherABC HEALTH PLAN PROV. #
NYP2666907OtherOXFORD HEALTH PROV. #
NYXH4634OtherATLANTIS HLTH PROVIDER #
NY76105OtherCAREPLUS HPN #
NY000370323681OtherHEALTH PLUS (BRONX)
NY2177E1OtherEMPIRE BCBS-BRONX #
NY837305OtherHEALTH NET PROVIDER #
NY4493644-003OtherCIGNA HMO PROVIDER #
NY0101460-01OtherAMERICHOICE-BRONX PROV. #
NYP2666907OtherOXFORD HEALTH PROV. #
NY4493644-003OtherCIGNA HMO PROVIDER #
NY76105OtherCAREPLUS HPN #
NY02319024Medicaid
NY4099632OtherGHI PROVIDER NUMBER
NYXH4634OtherATLANTIS HLTH PROVIDER #
NY02319024Medicaid
NY2189EDW561Medicare PIN