Individual
MS. TRACY M TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.C.
Contact information
Practice address
720 8TH AVE S, SUITE 100, SEATTLE, WA 98104-3032
(206) 788-3746
Mailing address
PO BOX 24911, SEATTLE, WA 98124-0911
(206) 788-3683
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10003243
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
127544
L&I
WA
05
—
8373516
—
WA
01
—
TR0498
REGENCE BLUESHIELD
—
Enumeration date
08/25/2006
Last updated
10/29/2007
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