Individual
BRIAN PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
325 W GOWE ST, KENT, WA 98032-5892
(253) 833-7444
Mailing address
325 W GOWE ST, KENT, WA 98032-5892
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
60461285
WA
Other
Enumeration date
06/19/2009
Last updated
07/29/2014
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