Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Chanida Putwanphen Wilson

Individual provider Nurse Practitioner · NPI 1376279323

Chanida Putwanphen Wilson is a Nurse Practitioner in Albany, Oregon. Practices as a sole proprietor and works from 2 locations. Licensed in Oregon, Texas and Washington.

Licensed in
OR, TX, WA
In the registry since
2022
Specialties on file
3

Practice location Address checks out

1100 7th Ave SW
Albany, OR 97321-1925
Phone: (541) 812-5600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2222 Maroneal St Unit 1333, Houston, TX 77030-3266 — (210) 501-2688

Specialties & licences

Nurse Practitioner (primary) Taxonomy 363L00000X · Licence 202215285NP-PP (OR)
Nurse Practitioner Taxonomy 363L00000X · Licence 1061486 (TX)
Nurse Practitioner Taxonomy 363L00000X · Licence 61302785 (WA)

Record details

NPI number1376279323
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 30, 2022
Last updated in NPPESJune 20, 2023
Certification dateJune 20, 2023
Mailing addressPo Box 1189, Corvallis, OR 97339-1189

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