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

Quynh Nhu Thi Phan, DO

Individual provider Pediatrics Physician · NPI 1619462793

Quynh Nhu Thi Phan, DO is a Pediatric Medicine in Bellevue, Washington. Graduated from Lake Erie College of Osteopathic Medicine, Erie in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Washington.

Years since qualifying
8
Trained at
Lake Erie College of Osteopathic Medicine, Erie
Licensed in
WA
In the registry since
2018
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

1940 116th Ave NE Ste 200A
Bellevue, WA 98004-3097
Phone: (415) 209-4331
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatrics Physician (primary) Taxonomy 208000000X · Licence DO.OP.70042948 (WA)

Record details

NPI number1619462793
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorYes
NPI enumeratedJune 29, 2018
Last updated in NPPESNovember 22, 2025
Certification dateNovember 22, 2025
Mailing addressCcm Medicine, 710 S 340th St, Ste B, Federal Way, WA 98003

Medicare enrollment

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

Medicare specialtyPEDIATRIC MEDICINE
Medical schoolLAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, ERIE
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated

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