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Contact Information

TRI C VAN, PA-C
400 S 43RD ST
RENTON, WA98055-5714
 Phone: 253-661-1700
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Radiography Radiologic Technologist

2471C3402X
Indicates primary specialty

NPI Profile & details for TRI C VAN · (Male)

NPI Number 1477383990
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 08/07/2024
Last updated 11/08/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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