Provider Demographics
NPI:1366505125
Name:HUYNH, LY NGOC (MD)
Entity Type:Individual
Prefix:
First Name:LY
Middle Name:NGOC
Last Name:HUYNH
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:13215 SE MILL PLAIN BLVD # C8-901
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98684-6991
Mailing Address - Country:US
Mailing Address - Phone:360-892-9664
Mailing Address - Fax:360-892-9667
Practice Address - Street 1:400 NE MOTHER JOSEPH PL
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98664-3200
Practice Address - Country:US
Practice Address - Phone:360-514-2000
Practice Address - Fax:360-514-2663
Is Sole Proprietor?:No
Enumeration Date:2006-12-19
Last Update Date:2012-08-09
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Provider Licenses
StateLicense IDTaxonomies
CAA940662085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology