Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Phanthaboon J Phannavong, PA-C

Individual provider Physician Assistant · NPI 1831850791

Phanthaboon J Phannavong, PA-C is a Physician Assistant in Seattle, Washington. Graduated from Eastern Virginia Medical School in 2022, 4 years ago. Practices with The Association of University Physicians, a 3,459-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Washington.

Years since qualifying
4
Trained at
Eastern Virginia Medical School
Licensed in
WA
In the registry since
2022
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

825 Eastlake Ave E
Seattle, WA 98109-4405
Phone: (206) 520-5000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61358368 (WA)

Record details

NPI number1831850791
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJanuary 4, 2022
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolEASTERN VIRGINIA MEDICAL SCHOOL
Graduated 2022 (4 years in practice)
Group practice The Association Of University Physicians — 3459 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

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