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Thong Phan
NPI 1679928220 · on the registry since 2016
Practice
- Address
- 1209 Ne 158th St
Shoreline, WA 98155 - Phone
- (206) 356-7963
Registry record
- Primary taxonomy
- 390200000X
390200000X
- Licence states on file
- WA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2016-05-02
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington