# WESTCARE CLINIC INC PS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1881769552
- **Authorized official:** QUAN HADUONG MD (OWNER)
- **Authorized official phone:** (702) 386-4700

## Contact information

- **Practice address:** 4509 TALBOT RD S STE 201, RENTON, WA 98055-6294
- **Practice address phone:** (360) 357-9392
- **Practice address fax:** (360) 528-3049
- **Mailing address:** 7602 BRIDGEPORT WAY W STE 4A, LAKEWOOD, WA 98499-2432
- **Mailing address phone:** (360) 357-9392
- **Mailing address fax:** (360) 528-3049

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208VP0000X | Pain Medicine Physician | — | NULL | — |
| 208VP0000X | Pain Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 11/21/2006
- **Last updated:** 12/08/2023