DIEP PHAM PC – NPI #1598247884
Clinic/Center

DIEP PHAM PC is an AHC clinic located in VANCOUVER, WA. NPPES has assigned the NPI number 1598247884 to DIEP PHAM PC on September 04, 2018. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 8 years ago on Sep 05, 2018. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for DIEP PHAM PC below.

NPI Profile for
DIEP PHAM PC

NPI Number
1598247884
Enumeration Date

(about 8 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
DIEP PHAM PC
Primary location
13510 NE 84TH ST STE 105
VANCOUVER, WA 98682
Phone: (360) 726-6966 Fax:
Mailing address
5210 SE 112TH AVE
PORTLAND, OR 97266-4182
Phone: (503) 888-6077 Fax:
Organization Subpart
No
Authorized Official
DIEP PHAM
GENERAL DENTIST
Phone: (503) 888-6077
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QD0000X
- Clinic/Center / Dental (Primary)		 OR D9395

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.