Doctor Name: | JOSEPH TRAN |
NPI Number: | 1790059137 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | IR60088277 |
Business Practice Address: | 12207 Ne 104th St Vancouver, WA - 986821848 |
Business Phone Number: | 3602134874 |
Business Fax Number: | |
Mailing Address: | 12207 Ne 104th St, VANCOUVER |
State: | WA |
Postal Code: | 986821848 |
Phone Number: | 3602134874 |
Fax Number: | |
NPI Enumeration Date: | 03/02/2012 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | IR60088277 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |