Individual
LOAN N VU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13100 MILITARY RD S, STE 2, TUKWILA, WA 98168-3086
(206) 242-7333
(206) 242-7335
Mailing address
13100 MILITARY RD S, STE 2, TUKWILA, WA 98168-3086
(206) 242-7333
(206) 242-7335
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
39682
KY
207Q00000X
Family Medicine Physician
Primary
MD00046816
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64090319
—
KY
05
—
8470510
—
WA
Enumeration date
05/20/2006
Last updated
04/17/2012
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