Individual
LINH MY QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
212 E CENTRAL AVE STE 245, SPOKANE, WA 99208-6289
(509) 489-2600
Mailing address
PO BOX 421, LIBERTY LAKE, WA 99019-0421
(866) 747-2455
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
PA61135043
WA
363AM0700X
Medical Physician Assistant
Primary
PA61135043
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185037
—
WA
Enumeration date
07/11/2006
Last updated
08/02/2023
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