Provider Demographics
NPI:1114006517
Name:TRAN, MINH-HAI THI (MS, RD)
Entity Type:Individual
Prefix:MS
First Name:MINH-HAI
Middle Name:THI
Last Name:TRAN
Suffix:
Gender:F
Credentials:MS, RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 NE BLAKELEY ST
Mailing Address - Street 2:SUITE 3B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-3164
Mailing Address - Country:US
Mailing Address - Phone:206-228-3152
Mailing Address - Fax:
Practice Address - Street 1:2901 NE BLAKELEY ST
Practice Address - Street 2:SUITE 3B
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-3164
Practice Address - Country:US
Practice Address - Phone:206-228-3152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADI00001811133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered