MEDICARE: DAVID LONG 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	225100000X	Physical Therapist	61585812	WA

General Provider Information

NPI Number	:	1255282448
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DAVID LONG TRAN

Provider Business Mailing Address
First Line	:	4426 S MORGAN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3340
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4426 S MORGAN ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98118-3340
Country	:	US
Telephone Number	:	206-422-5639
Fax Number	:

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

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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Directions to “ DAVID LONG TRAN ” Practice Location

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