Individual
DR. KATY TAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
10101 19TH AVE SE STE B, EVERETT, WA 98208-4255
(425) 338-5400
Mailing address
16550 NE 79TH ST APT 203, REDMOND, WA 98052-2474
(808) 276-8710
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OD.OD.61397190
WA
Other
Enumeration date
06/13/2019
Last updated
03/29/2023
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