Individual
THERESA N TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
660 SW 39TH ST, STE 150, RENTON, WA 98057-4912
(425) 793-4700
(425) 656-4046
Mailing address
PO BOX 59028, RENTON, WA 98058-2028
(425) 251-5110
(425) 793-4707
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
MD60013216
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0039581
INDIVIDUAL L&I NUMBER
WA
05
—
1093354
—
WA
Enumeration date
03/06/2007
Last updated
11/14/2016
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