Jacqueline Van Tran MD PS

Primary specialty

Legal MedicineTaxonomy code 173000000X

License

33283 Issued in WA

Legal business name

JACQUELINE VAN TRAN MD PS

Practice address

16259 Sylvester Rd SW
Suite 503
Burien, WA 98166-3049

Phone

(206) 246-3800

Fax

(206) 246-3583

NPI assigned

Dec 14, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jacqueline Van Tran, MD

Title

President

Phone

(206) 246-3800

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1197590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1197590400000",
    "number": "1073796884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "SUITE 503",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-246-3800",
            "fax_number": "206-246-3583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16259 SYLVESTER RD SW",
            "address_2": "SUITE 503",
            "city": "BURIEN",
            "state": "WA",
            "postal_code": "981663049",
            "telephone_number": "206-246-3800",
            "fax_number": "206-246-3583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACQUELINE VAN TRAN MD PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-14",
        "last_updated": "2007-12-14",
        "status": "A",
        "authorized_official_last_name": "TRAN",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_middle_name": "VAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-246-3800",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "WA",
            "license": "33283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1101211",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Fredric Neven Jackson, MD PS
• Jamain Jackson
• Jebryan Armani Jackson
• Tami Jackson, LMT
• Travis Edward Jackson, LMT
• Jae Hong DDS, PLLC
• Jal, M.D., Inc., P.S.
• Jessica Jang
• Susan Janke, OTR
• Olivia Kay Janson Tran, MD

• Legal Medicine in Burien, WA
• Providers in Burien, WA by specialty
• Legal Medicine in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.