Healthcare Provider Details

I. General information

NPI: 1790365005
Provider Name (Legal Business Name): KATHERINE D TRAN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/11/2021
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6901 SAND POINT WAY NE
SEATTLE WA
98115-7869
US

IV. Provider business mailing address

6901 SAND POINT WAY NE
SEATTLE WA
98115-7869
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-2164
  • Fax:
Mailing address:
  • Phone: 206-987-2164
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084P0800X
TaxonomyPsychiatry Physician
License Number61466351
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: