Provider Demographics
NPI:1508881228
Name:HUYNH, LINH TRANG (MD)
Entity Type:Individual
Prefix:DR
First Name:LINH
Middle Name:TRANG
Last Name:HUYNH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:11019 CANYON RD E
Mailing Address - Street 2:STE A
Mailing Address - City:PUYALLUP
Mailing Address - State:WA
Mailing Address - Zip Code:98373-3001
Mailing Address - Country:US
Mailing Address - Phone:253-864-0224
Mailing Address - Fax:253-864-0634
Practice Address - Street 1:10116 116TH ST E
Practice Address - Street 2:SUITE 101
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98373-3543
Practice Address - Country:US
Practice Address - Phone:253-864-0224
Practice Address - Fax:253-864-0634
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00037764207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8251944Medicaid
WAH43502Medicare UPIN
WAGAB33513Medicare ID - Type Unspecified