Organization
FAMILY MEDICINE CLINIC OF FEDERAL WAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VUTHY LENG M.D. (OWNER)
(253) 838-4140
Entity
Organization
Contact information
Practice address
34618 11TH PL S. SUITE #100, FEDERAL WAY, WA 98003
(866) 499-8990
(253) 838-4145
Mailing address
PO BOX 6015, FEDERAL WAY, WA 98063-6015
(866) 499-8990
(253) 838-4145
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
MD00044823
WA
207Q00000X
Family Medicine Physician
Primary
00044823
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1122118
—
WA
Enumeration date
02/21/2007
Last updated
02/06/2019
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