Alex Vincent Pham, DC, ATC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

61483660 Issued in WA

Practice address

3523 SE 176TH Ave
Vancouver, WA 98683-3591

Phone

(360) 690-6479

NPI assigned

Sep 17, 2020

Last updated

Mar 13, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1600300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710288000000",
    "number": "1356957054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3523 SE 176TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833591",
            "telephone_number": "360-690-6479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3523 SE 176TH AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986833591",
            "telephone_number": "360-690-6479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "ALEX",
        "middle_name": "VINCENT",
        "name_prefix": "Dr.",
        "credential": "DC, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-09-17",
        "last_updated": "2024-03-13",
        "certification_date": "2024-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "61483660",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "WA",
            "license": "61483558",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tara C Pfeifer, DH 60035150
• Lindsay Rae Pfender, PA-C
• Sue Truitt Pfendler, M.T.
• Dakota Taylor Pfister, MD
• Roy Pfund
• Brenden Ty Pham, PHARMD
• Dang Hai Pham, PHARMD
• Hailey Pham
• Khoa Anh Pham
• Khoa Dang Pham

• Chiropractor in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Chiropractor in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2024; 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.