Provider Demographics
NPI:1003212820
Name:VO, JOHN-NAM THANH (DC)
Entity Type:Individual
Prefix:DR
First Name:JOHN-NAM
Middle Name:THANH
Last Name:VO
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:606 120TH AVE NE STE D100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-3024
Mailing Address - Country:US
Mailing Address - Phone:425-688-0223
Mailing Address - Fax:425-688-0323
Practice Address - Street 1:606 120TH AVE NE STE D100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-688-0223
Practice Address - Fax:425-688-0323
Is Sole Proprietor?:No
Enumeration Date:2014-11-05
Last Update Date:2020-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60504206111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor