Healthcare Provider Details

I. General information

NPI: 1144157926
Provider Name (Legal Business Name): CHRISTIE NGOC PHAM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/06/2026
Last Update Date: 05/06/2026
Certification Date: 05/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

325 9TH AVE
SEATTLE WA
98104-2499
US

IV. Provider business mailing address

325 NINTH AVENUE BOX 359740
SEATTLE WA
98104
US

V. Phone/Fax

Practice location:
  • Phone: 206-744-5024
  • Fax:
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
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.61615467
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: