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NPI Code Detail

MEDICARE: TINH-DOAN PHI DO

MEDICARE: TINH-DOAN PHI DO
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
1390200000XStudent in an Organized Health Care Education/Training ProgramWA

General Provider Information

NPI Number : 1881440733
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINH-DOAN PHI DO
Provider Business Mailing Address
First Line : 1321 COLBY AVE STE B400
Second Line :
City : EVERETT
State : WA
Zip : 98201-1665
Country : US
Telephone Number : 425-297-5234
Fax Number :
Provider Business Practice Location Address
First Line : 1321 COLBY AVE # B400
Second Line :
City : EVERETT
State : WA
Zip : 98201-1665
Country : US
Telephone Number : 425-297-5234
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/30/2024
Last Update Date : 04/14/2026

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Directions to “ TINH-DOAN PHI DO” Practice Location

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