Dr. Jaclyn Phan & Associates

NPI #1437330123 in Bothell, Washington

Provider Information

NPI Number: 1437330123
Entity Type: Organization
Organization Name: Dr. Jaclyn Phan & Associates
Primary Specialty: Clinic/Center
Enumeration Date: Nov 21, 2007
Last Updated: Nov 21, 2007

Practice Location

Address: 1912 201ST PL SE
Address 2: SUITE 204
City: Bothell
State: Washington
ZIP Code: 98012-8570
Phone: (425) 485-6812

Authorized Official

Name: DR. JACLYN T PHAN, O.D.
Title: PRESIDENT
Phone: (425) 485-6812

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X	Primary

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