Khoa Anh Pham

Primary specialty

DenturistTaxonomy code 122400000X

License

70145192 Issued in WA

Practice address

4804 NE Thurston Way Ste C
Vancouver, WA 98662-6478

Phone

(360) 892-7060

NPI assigned

Oct 15, 2026

Last updated

Oct 15, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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

{
    "created_epoch": "1792022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792022400000",
    "number": "1982500138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19007 SE 11TH WAY",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986839783",
            "telephone_number": "360-513-8265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4804 NE THURSTON WAY STE C",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986626478",
            "telephone_number": "360-892-7060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAM",
        "first_name": "KHOA",
        "middle_name": "ANH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-10-15",
        "last_updated": "2026-10-15",
        "certification_date": "2026-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122400000X",
            "taxonomy_group": "",
            "desc": "Denturist",
            "state": "WA",
            "license": "70145192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roy Pfund
• Alex Vincent Pham, DC, ATC
• Brenden Ty Pham, PHARMD
• Dang Hai Pham, PHARMD
• Hailey Pham
• Khoa Dang Pham
• Kristine H Pham, DMD
• Luke Huy-Viet Pham, RDO
• Minh Pham, PHARM D.
• Rosa Pham, DNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.