Individual
NGOC-ANH LUU TA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2800
(877) 516-9184
Mailing address
10388 SE 187TH PL, RENTON, WA 98055-6421
(206) 778-3146
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD61196961
WA
2084P0800X
Psychiatry Physician
MD61196961
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/20/2019
Last updated
10/19/2022
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