Healthcare Provider Details

I. General information

NPI: 1619822491
Provider Name (Legal Business Name): EMILY TAM HUYNH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 02/26/2026
Certification Date: 02/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

815 K ST
HOQUIAM WA
98550-3705
US

IV. Provider business mailing address

200 UNIVERSITY PKWY
YAKIMA WA
98901-9539
US

V. Phone/Fax

Practice location:
  • Phone: 360-537-6430
  • Fax: 360-532-9512
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: