Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 18826 | IL |
N | 207L00000X | Anesthesiologist | CDR.0000282 | CO |
Y | 207L00000X | Anesthesiologist | MD 60147196 | WA |
N | 207R00000X | Internist | ML20008755 | WA |
N | 111NI0900X | Internist | ML20008755 | WA |
NPI | 1013099530 |
---|---|
Provider Name | Tien Thach |
First Address | Seattle, WA 98101-2756 |
Second Address | Seattle, WA 98101-2756 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/10/2006 |
Last Update Date | 13/04/2020 |