Healthcare Provider Details

I. General information

NPI: 1043256803
Provider Name (Legal Business Name): MICHAEL H DUONG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12728 19TH AVENUE SE SUITE 200
EVERETT WA
98208-6526
US

IV. Provider business mailing address

1728 W MARINE VIEW DR STE 110
EVERETT WA
98201-2094
US

V. Phone/Fax

Practice location:
  • Phone: 425-225-2700
  • Fax: 425-225-2790
Mailing address:
  • Phone: 425-259-4041
  • Fax: 425-225-2790

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License NumberMD0046074
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License NumberMD00046074
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: