Provider Demographics
NPI:1215731336
Name:DO, DUNG MY (DO)
Entity type:Individual
Prefix:
First Name:DUNG
Middle Name:MY
Last Name:DO
Suffix:
Gender:
Credentials:DO
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:MY
Other - Last Name:DO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DO
Mailing Address - Street 1:1717 S J ST # MS 01-125
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98405-4933
Mailing Address - Country:US
Mailing Address - Phone:253-552-8690
Mailing Address - Fax:
Practice Address - Street 1:1717 S J ST # MS 01-125
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98405-4933
Practice Address - Country:US
Practice Address - Phone:253-552-8690
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-01
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program