Provider Demographics
NPI:1750326831
Name:TRUONG, OANH HOANG (MD)
Entity Type:Individual
Prefix:
First Name:OANH
Middle Name:HOANG
Last Name:TRUONG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9621 RIDGETOP BLVD NW
Mailing Address - Street 2:
Mailing Address - City:SILVERDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98383-8502
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9398 RIDGETOP BLVD NW
Practice Address - Street 2:
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-8505
Practice Address - Country:US
Practice Address - Phone:360-782-3200
Practice Address - Fax:360-782-3241
Is Sole Proprietor?:No
Enumeration Date:2006-06-20
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00036579207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA128825OtherLABOR & INDUSTRIES
080137343OtherRAILROAD MEDICARE
WA8243917Medicaid
TR5033OtherREGENCE BLUE SHIELD
WA8928290OtherCRIME VICTIMS COMP
5047766OtherAETNA
5047766OtherAETNA
TR5033OtherREGENCE BLUE SHIELD
WAGAB09511Medicare PIN
WAG8852229Medicare PIN
G92930Medicare UPIN
WAGAB09512Medicare PIN
WA8928290OtherCRIME VICTIMS COMP