Individual
TRI CONG VAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
400 S 43RD ST, RENTON, WA 98055-5714
(253) 661-1700
Mailing address
400 S 43RD ST, RENTON, WA 98055-5714
(253) 661-1700
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
—
WA
363A00000X
Physician Assistant
Primary
—
WA
Other
Enumeration date
08/07/2024
Last updated
11/08/2025
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