Individual
DIEM-PHUONG NGOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1019 112TH ST SW, EVERETT, WA 98204-4875
(425) 551-6200
(425) 551-6017
Mailing address
8609 EVERGREEN WAY, EVERETT, WA 98208-2619
(425) 789-3700
(425) 789-3780
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OP60368373
WA
207Q00000X
Family Medicine Physician
TL-3267
CO
Other
Enumeration date
06/02/2009
Last updated
10/19/2020
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