Dr. Jaclyn Phan & Associates in Bothell - Clinic/center

Dr. Jaclyn Phan & Associates - NPI 1437330123

Dr. Jaclyn Phan & Associates is a Clinic/center in Bothell, Washington. Dr. Jaclyn Phan & Associates practices all healthcare services and medical treatments related to Clinic/center. The NPI Number for Dr. Jaclyn Phan & Associates is 1437330123. The last update date is 2007-11-21.

Dr. Jaclyn Phan & Associates's current location address is 1912 201st Pl Se, Bothell, Washington. You can contact this provider via phone number 4254856812 and fax number 4254856813. The mailing address for Dr. Jaclyn Phan & Associates is 1912 201st Pl Se, Bothell, Washington. To know further, please read the information below!

Provider Profile Detail

Provider Organization Dr. Jaclyn Phan & Associates
Address 1912 201st Pl Se, Bothell, Washington
Phone Number 4254856812
Fax Number 4254856813
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Phan T Jaclyn
Credentials O.D.
Telephone Number 4254856812

NPI Number Detail

NPI Number 1437330123
Provider Enumeration Date 2007-11-21
Last Updated Date 2007-11-21

Provider Mailing Address Detail

Address 1912 201st Pl Se
City Bothell
State Washington (WA)
Post Code 980128570
Phone Number 4254856812
Fax Number 4254856813

Provider's Primary Taxonomy Detail

Speciality Clinic/center
Taxonomy 261Q00000X
Licence No 3357
Definition:
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2033652 WA --

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FAQs about Dr. Jaclyn Phan & Associates

What is the unique identifier code issued to Dr. Jaclyn Phan & Associates by the Centers for Medicare & Medicaid Services (CMS)?

The Dr. Jaclyn Phan & Associates has been assigned the NPI (National Provider Identifier) 1437330123. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you kindly provide the complete physical address where Dr. Jaclyn Phan & Associates's facilities are geographically located?

The facilities of Dr. Jaclyn Phan & Associates are physically situated at the following location: 1912 201St Pl Se, Bothell, WA, 980128570.

What is Dr. Jaclyn Phan & Associates's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Dr. Jaclyn Phan & Associates is Clinic/center, and the taxonomy code that categorizes this field of expertise is 261Q00000X.

On what date did the Dr. Jaclyn Phan & Associates receive the assignment of its 1437330123 from the Centers for Medicare & Medicaid Services?

The Dr. Jaclyn Phan & Associates was issued its 1437330123 by the Centers for Medicare & Medicaid Services on 2007-11-21.

As of what date were the Dr. Jaclyn Phan & Associates's details last updated?

The information pertaining to the Dr. Jaclyn Phan & Associates, including its address, specialty, and other details, was most recently updated on 2007-11-21.

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