Organization
WESTCARE CLINIC INC PS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
QUAN HADUONG MD (OWNER)
(702) 386-4700
Entity
Organization
Contact information
Practice address
4509 TALBOT RD S STE 201, RENTON, WA 98055-6294
(360) 357-9392
(360) 528-3049
Mailing address
7602 BRIDGEPORT WAY W STE 4A, LAKEWOOD, WA 98499-2432
(360) 357-9392
(360) 528-3049
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
208VP0000X
Pain Medicine Physician
—
—
Other
Enumeration date
11/21/2006
Last updated
12/08/2023
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