Individual
QUYNH NHU THI PHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1940 116TH AVE NE STE 200A, BELLEVUE, WA 98004-3097
(415) 209-4331
Mailing address
CCM MEDICINE, 710 S 340TH ST, STE B, FEDERAL WAY, WA 98003
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
DO.OP.70042948
WA
Other
Enumeration date
06/29/2018
Last updated
11/22/2025
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