Provider Demographics
NPI:1376706739
Name:LE, TRIEU THUY (MD)
Entity type:Individual
Prefix:
First Name:TRIEU
Middle Name:THUY
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:18100 NE UNION HILL RD STE 200
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3330
Mailing Address - Country:US
Mailing Address - Phone:206-852-0790
Mailing Address - Fax:
Practice Address - Street 1:18100 NE UNION HILL RD STE 200
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-3330
Practice Address - Country:US
Practice Address - Phone:425-498-2153
Practice Address - Fax:425-498-2153
Is Sole Proprietor?:No
Enumeration Date:2008-07-07
Last Update Date:2015-03-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAML20009154207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine