Individual
DR. MICHELLE A PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
747 BROADWAY, SEATTLE, WA 98122
(206) 215-2520
(206) 386-3180
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD60749393
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1366988560
—
WA
Enumeration date
01/11/2017
Last updated
06/28/2018
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