Individual
TAM N PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 744-3241
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD00045085
WA
2086S0102X
Surgical Critical Care Physician
Primary
MD00045085
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0231832
L&I
WA
05
—
1326153040
—
WA
Enumeration date
08/20/2006
Last updated
02/08/2012
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