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

Van Tuy Phan, PA-C

Individual provider Physician Assistant · NPI 1912040049

Van Tuy Phan, PA-C is a Physician Assistant in Lakewood, Washington. Qualified in 2001, 25 years ago. Practices with Franciscan Medical Group, a 1,417-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
25
Licensed in
WA
In the registry since
2007
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

11311 Bridgeport Way SW Ste 100
Lakewood, WA 98499-3096
Phone: (253) 985-6490
Fax: (253) 985-6488
Show map & directions

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

Additional practice locations (1)

  • 4011 Talbot Rd S, Renton, WA 98055-5773 — (425) 656-5060

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PA10004199 (WA)
Physician Assistant Taxonomy 363A00000X · Licence PA10004199 (WA)

Record details

NPI number1912040049
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 15, 2007
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021
Mailing address11311 Bridgeport Way Sw Ste 100, Lakewood, WA 98499-3096

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Franciscan Medical Group — 1417 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Lakewood