Provider Demographics
NPI:1568641785
Name:TRAN, JAY TRI MINH (DC)
Entity Type:Individual
Prefix:DR
First Name:JAY TRI
Middle Name:MINH
Last Name:TRAN
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 1:13003 SE 305TH CT
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-3310
Mailing Address - Country:US
Mailing Address - Phone:253-886-5016
Mailing Address - Fax:253-886-5024
Practice Address - Street 1:3802 AUBURN WAY N
Practice Address - Street 2:SUITE 302
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002
Practice Address - Country:US
Practice Address - Phone:253-886-5016
Practice Address - Fax:253-886-5024
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-24
Last Update Date:2019-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH00034805111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor