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DR. JACLYN PHAN & ASSOCIATES NPI 1437330123


NPI Information

NPI: 1437330123
Provider Name: DR. JACLYN PHAN & ASSOCIATES

Doing Business As: COMFORT VISION

Classification: Clinic/Center - 261Q00000X
Entity Type: Organization
Address:
1912 201ST PL SE
SUITE 204
BOTHELL, WA
ZIP 98012
Phone: (425) 485-6812
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DR. JACLYN PHAN & ASSOCIATES is a clinic center in Bothell, WA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). DR. JACLYN PHAN & ASSOCIATES NPI is 1437330123. The provider is registered as an organization entity type.
The provider Is Doing Business As Comfort Vision.

The provider's business location address is:

1912 201ST PL SE
SUITE 204
BOTHELL, WA
ZIP 98012-570
Phone: (425) 485-6812
Fax: (425) 485-6813

The provider's authorized official is Jaclyn T Phan .
The authorized official title is President and has the following contact phone number (425) 485-6812.

The enumeration date for this NPI number is 11/21/2007 and was last updated on 11/21/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center3357WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12033652MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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