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

Tri Cong Van, PA-C

Individual provider Physician Assistant · NPI 1477383990

Tri Cong Van, PA-C is a Physician Assistant in Renton, Washington. Graduated from University of Washington School of Medicine in 2025, 1 year ago. Practices with Vantage Radiology and Diagnostic Services, a Professional Services Cor, a 40-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
1
Trained at
University of Washington School of Medicine
Licensed in
WA
In the registry since
2024
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Practice location Address checks out

400 S 43rd St
Renton, WA 98055-5714
Phone: (253) 661-1700
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X (WA)
Radiography Radiologic Technologist Taxonomy 2471C3402X (WA)

Record details

NPI number1477383990
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedAugust 7, 2024
Last updated in NPPESNovember 8, 2025
Certification dateNovember 8, 2025

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2025 (1 years in practice)
Group practice Vantage Radiology And Diagnostic Services, A Professional Services Cor — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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