Provider Demographics
NPI:1174993190
Name:THORSTENSEN, HOANG UYEN THI (CPHT, BS, BA)
Entity type:Individual
Prefix:PROF
First Name:HOANG UYEN
Middle Name:THI
Last Name:THORSTENSEN
Suffix:
Gender:F
Credentials:CPHT, BS, BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2434 238TH PL SW
Mailing Address - Street 2:
Mailing Address - City:BRIER
Mailing Address - State:WA
Mailing Address - Zip Code:98036-8480
Mailing Address - Country:US
Mailing Address - Phone:425-210-9730
Mailing Address - Fax:
Practice Address - Street 1:2434 238TH PL SW
Practice Address - Street 2:
Practice Address - City:BRIER
Practice Address - State:WA
Practice Address - Zip Code:98036-8480
Practice Address - Country:US
Practice Address - Phone:425-210-9730
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-02
Last Update Date:2015-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAVA00039207183700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183700000XPharmacy Service ProvidersPharmacy Technician