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NGOC DIEP VU

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
33915 1ST WAY S STE 130, FEDERAL WAY, WA 98003-6396
(253) 528-9135
(206) 859-5776
Mailing address
1793 13TH ST SE, SALEM, OR 97302-2541
(503) 362-8385
(503) 362-8435

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA 60713158
WA

Other

Enumeration date
02/20/2017
Last updated
02/06/2024
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