MEDICARE: ALINE TRAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist

General Provider Information

NPI Number	:	1255083895
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALINE TRAN

Provider Business Mailing Address
First Line	:	2607 WESTERN AVE APT 208
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1332
Country	:	US
Telephone Number	:	832-984-0487
Fax Number	:

Provider Business Practice Location Address
First Line	:	2607 WESTERN AVE APT 208
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98121-1332
Country	:	US
Telephone Number	:	832-984-0487
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2022
Last Update Date	:	01/25/2022

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Directions to “ ALINE TRAN ” Practice Location

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