Provider Demographics
NPI:1427343144
Name:VO, ALAN THAI-NHAN (DO)
Entity type:Individual
Prefix:DR
First Name:ALAN
Middle Name:THAI-NHAN
Last Name:VO
Suffix:
Gender:
Credentials:DO
Other - Prefix:MR
Other - First Name:NHAN
Other - Middle Name:THAI
Other - Last Name:VO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DO
Mailing Address - Street 1:11311 BRIDGEPORT WAY SW STE 309
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98499-3078
Mailing Address - Country:US
Mailing Address - Phone:253-985-2949
Mailing Address - Fax:
Practice Address - Street 1:815 S VASSAULT ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98465-2008
Practice Address - Country:US
Practice Address - Phone:253-444-3320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-10
Last Update Date:2025-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDP26353208100000X
WAOP60548732208100000X, 2081P2900X
WA208VP0014X208VP0014X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
No208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No208VP0014XAllopathic & Osteopathic PhysiciansPain MedicineInterventional Pain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2087903Medicaid
WAG8954357OtherMEDICARE PTAN
WAG8954359OtherMEDICARE PTAN
WAG8954358OtherMEDICARE PTAN