SearchWashington101YM0800X

Dustin Phan, LICSWA

NPI 1992517965 · on the registry since 2025

Practice

Address
3800 S Othello St
Seattle, WA 98118
Phone
(706) 633-0405
Organisation at this address
Seattle'S Union Gospel Mission
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-01-24

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