1851697072 NPI number — PHI-LAN HOANG NGUYEN L.AC, EAMP

Table of content: ANNE WEBB LCMHC (NPI 1114963493)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1851697072 NPI number — PHI-LAN HOANG NGUYEN L.AC, EAMP

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
NGUYEN
Provider First Name:
PHI-LAN
Provider Middle Name:
HOANG
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
L.AC, EAMP
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
NGUYEN
Provider Other First Name:
Y LAN
Provider Other Middle Name:
HOANG
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
MSAOM, EAMP, L.AC.
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1851697072
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/06/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1406 E PINE ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
SEATTLE
Provider Business Mailing Address State Name:
WA
Provider Business Mailing Address Postal Code:
98122-4032
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
206-388-8711
Provider Business Mailing Address Fax Number:
425-548-1677

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1188 BISHOP ST STE 1605
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-3306
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-524-8715
Provider Business Practice Location Address Fax Number:
425-548-1677
Provider Enumeration Date:
02/04/2011

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 171100000X , with the licence number:  AC60205633 , registered in the state of WA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ACU-1419-0 . This is a "HAWAII LICENSE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: AC60205633 . This is a "LICENSE" identifier , issued by the state of ( WA ) . This identifiers is of the category "OTHER".