Healthcare Provider Details

I. General information

NPI: 1841161502
Provider Name (Legal Business Name): TIFFANY QUYNH-DUNG TRAN PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/16/2025
Last Update Date: 09/16/2025
Certification Date: 09/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 NACHES AVE SW
RENTON WA
98057-2617
US

IV. Provider business mailing address

2921 NACHES AVE SW
RENTON WA
98057-2617
US

V. Phone/Fax

Practice location:
  • Phone: 206-630-1330
  • Fax:
Mailing address:
  • Phone: 206-630-1330
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336M0003X
TaxonomyManaged Care Organization Pharmacy
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: