Healthcare Provider Details

I. General information

NPI: 1548113277
Provider Name (Legal Business Name): AMY NGOC DUNG HUYNH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

531 QUEEN ANNE AVE N
SEATTLE WA
98109-4521
US

IV. Provider business mailing address

8123 80TH ST NE
MARYSVILLE WA
98270-6201
US

V. Phone/Fax

Practice location:
  • Phone: 866-389-2727
  • Fax:
Mailing address:
  • Phone: 425-350-1580
  • Fax: 425-350-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberAP70099732
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: