Individual
HIEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
24920 104TH AVE SE, KENT, WA 98030-6443
(425) 395-1944
Mailing address
PO BOX 34876, SEATTLE, WA 98124-1876
(425) 656-5412
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD60023078
WA
207RN0300X
Nephrology Physician
Primary
MD60023078
WA
Other
Enumeration date
08/19/2006
Last updated
01/19/2017
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