Individual
CHAU DUYEN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2808
Mailing address
275 BRONSON WAY NE STE 300, RENTON, WA 98056-4030
(425) 235-2808
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004936
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8441370
—
WA
Enumeration date
08/29/2006
Last updated
04/28/2021
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