Healthcare Provider Details

I. General information

NPI: 1376285791
Provider Name (Legal Business Name): EMILY PHU THOMAS-TRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY PHU TRAN

II. Dates (important events)

Enumeration Date: 04/07/2022
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1329 N 47TH ST UNIT 31022
SEATTLE WA
98103-6765
US

IV. Provider business mailing address

1329 N 47TH ST UNIT 31022
SEATTLE WA
98103-6765
US

V. Phone/Fax

Practice location:
  • Phone: 253-448-3609
  • Fax:
Mailing address:
  • Phone: 253-448-3609
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License NumberMD.61566289
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: