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Dr. Jaclyn Phan & Associates
Clinic/Center in Bothell, Washington
NPI 1437330123

Dr. Jaclyn Phan & Associates is a Clinic/Center based in Bothell, WA. Dr. Jaclyn Phan & Associates practices in Bothell, WA. The NPI Number for Dr. Jaclyn Phan & Associates is 1437330123 and holds a License No. 3357 (Washington).

The current practice location address for Dr. Jaclyn Phan & Associates is 1912 201St Pl Se, Bothell, WA and can be reached out via phone at 425-485-6812 and via fax at 425-485-6813.

Location: 1912 201St Pl Se, Bothell, WA, 98012-8570
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1437330123
Provider Name
Dr. Jaclyn Phan & Associates
Credential
Provider Entity Type
Organization
Address
1912 201St Pl Se, Bothell, WA, 98012-8570
Phone Number
425-485-6812
Fax Number
425-485-6813
Provider Enumeration Date
11/21/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2033652 05 WA
institution
Provider Business Practice Location Address Details
Address
1912 201St Pl Se
City
Bothell
State
Washington
Zip
98012-8570
Phone Number
425-485-6812
Fax Number
425-485-6813
person
Provider Business Mailing Address Details
Address
1912 201St Pl Se
City
Bothell
State
Washington
Zip
98012-8570
Phone Number
425-485-6812
Fax Number
425-485-6813
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
3357 (Washington)
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., radiology, poor, and public health).
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