Individual
ANTHONY HOAI-NAM PHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
19917 7TH AVE NE STE 100, POULSBO, WA 98370-6555
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 520-5700
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MD61062666
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508251000
—
WA
Enumeration date
04/01/2015
Last updated
08/07/2020
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