Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | ORTH.OI.60819114 | WA |
Y | 222Z00000X | Podiatrist | ORTH.OI.60819114 | WA |
N | 224P00000X | Prosthetist | PS60912919 | WA |
NPI | 1033612791 |
---|---|
Provider Name | Tuan-Tu Duong |
First Address | Everett, WA 98203-2200 |
Second Address | Edmonds, WA 98026-7565 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2018 |
Last Update Date | 10/12/2021 |