Healthcare Provider Details

I. General information

NPI: 1124605431
Provider Name (Legal Business Name): OLIVIA KAY JANSON TRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/24/2021
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16251 SYLVESTER RD SW
BURIEN WA
98166-3017
US

IV. Provider business mailing address

4103 NE 6TH PL
RENTON WA
98059-4723
US

V. Phone/Fax

Practice location:
  • Phone: 206-244-9970
  • Fax:
Mailing address:
  • Phone: 360-798-2438
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD.MD.70007573
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License NumberMD.MD.70007573
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: