Healthcare Provider Details

I. General information

NPI: 1609409390
Provider Name (Legal Business Name): PNW HAPPY HEALTHY, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2020
Last Update Date: 11/06/2023
Certification Date: 11/06/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 S PINE ST STE 30-07
TACOMA WA
98409-9123
US

IV. Provider business mailing address

4301 S PINE ST STE 30-07
TACOMA WA
98409-9123
US

V. Phone/Fax

Practice location:
  • Phone: 253-785-9367
  • Fax: 253-281-4026
Mailing address:
  • Phone: 253-785-9367
  • Fax: 253-281-4026

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. QUYEN NGUYEN
Title or Position: LICENSED PSYCHOLOGIST
Credential: PH.D.
Phone: 253-785-9367