Provider Demographics
NPI:1184720179
Name:HUYNH, NGOC LE (MD)
Entity type:Individual
Prefix:
First Name:NGOC
Middle Name:LE
Last Name:HUYNH
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 1:13100 MILITARY RD S
Mailing Address - Street 2:
Mailing Address - City:TUKWILA
Mailing Address - State:WA
Mailing Address - Zip Code:98168-3086
Mailing Address - Country:US
Mailing Address - Phone:206-242-7333
Mailing Address - Fax:206-242-7335
Practice Address - Street 1:13100 MILITARY RD S
Practice Address - Street 2:
Practice Address - City:TUKWILA
Practice Address - State:WA
Practice Address - Zip Code:98168-3086
Practice Address - Country:US
Practice Address - Phone:206-242-7333
Practice Address - Fax:206-242-7335
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2012-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY390032083X0100X
WAMD00046713207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No2083X0100XAllopathic & Osteopathic PhysiciansPreventive MedicineOccupational Medicine