CLEMENT PHUONG NGUYEN LE THANH (NPI# 1386749281) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386749281 |
| Entity Type | Individual |
| Full Name | CLEMENT PHUONG NGUYEN LE THANH |
| Other Name | CLEMENT THANH LE |
| Practice Address |
320 S Kitsap Blvd Port Orchard WA 98366 |
| Mailing Address |
Po Box 960 400 Warren Ave Ste 300 Bremerton WA 98337 |
| Practice Telephone | 3608767215 |
| Mailing Telephone | 3604753709 |
| Mailing Fax Number | 3603732096 |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2008-02-20 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | MD00046845 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8465742 | 05 |
| Street Address |
320 S KITSAP BLVD |
| City | PORT ORCHARD |
| State | WA |
| Zip Code | 98366 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982695128 | Regina B Bonnevie-rogers | Internal Medicine | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2005-11-04 |
| 1053950832 | Peninsula Community Health Services | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2019-12-27 |
| 1669981510 | Doddie A Lagervall | Counselor | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2017-09-22 |
| 1942660592 | Holly Wolfe | Dietitian, Registered | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2016-02-24 |
| 1881050029 | Margaret Lowe | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2016-01-04 |
| 1427303171 | Deborah Christine Olin | Counselor | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2012-07-18 |
| 1346504735 | Colleen C Williams | Nurse Practitioner | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2012-06-29 |
| 1881850998 | Michelle Jahn | Counselor | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2008-07-29 |
| 1679665483 | Peninsula Community Health Servicess | Pharmacy | 320 S Kitsap Blvd, Port Orchard, WA 98366 | 2006-09-29 |
| 1225143670 | Ann Bridges Bruce | Psychiatry & Neurology | 320 S Kitsap Blvd, Port Orchard, WA 98366-3778 | 2006-08-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003423302 | Teresa M Derouin | Speech-Language Pathologist | Harbor Speech Pathology, 463 Tremont St W Suite 110, Port Orchard, WA 98366 | 2020-09-30 |
| 1316591217 | Martin Medical Equipment LLC | Durable Medical Equipment & Medical Supplies | 8079 E Main Street, Suite 101, Port Orchard, WA 98366 | 2019-07-29 |
| 1952822660 | Kristian Thomas Workman Haskins | Hearing Instrument Specialist | 1328 Colchester Drive S.e., Port Orchard, WA 98366 | 2017-07-03 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1063884534 | Laurine Burrer | Licensed Practical Nurse | 2874 Se Lund Ave, Port Orchard, WA 98366 | 2015-10-23 |
| 1346640836 | Karen Diane Thompson | Pharmacy Technician | 1800 Sidney Ave, Apt 1-201, Port Orchard, WA 98366 | 2014-09-03 |
| 1588912042 | Celeste Kyle Interrante | Physical Therapy Assistant | 2051 Pottery Ave., Port Orchard, WA 98366 | 2012-08-15 |
| 1013227339 | Christine Davis | Massage Therapist | 1800 Se Mile Hill Drive, Suite 150, Port Orchard, WA 98366 | 2010-10-20 |
| 1932421724 | Mary Jo Stump | Physical Therapy Assistant | 2051 Pottery Avenue, Port Orchard, WA 98366 | 2010-02-19 |
| 1669707626 | Shannon Mary Baurichter | Speech-Language Pathologist | 1230 Bay St, Port Orchard, WA 98366 | 2009-10-08 |
| Find all providers in zip 98366 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861790438 | Mark Edward Thoman | Pediatrics | 5355 Crane Ave E, Port Orchard, WA 98366-8000 | 2011-03-07 |
| 1366476509 | Catherine Elaine Cogley | Pediatrics | 450 S. Kitsap Blvd, Ste 2300, Port Orchard, WA 98366-0016 | 2006-07-11 |
| 1154395085 | Gregory Howard Cain | Pediatrics | 1400 Pottery Ave Ste 1, Port Orchard, WA 98366-3711 | 2006-02-15 |
| 1720175672 | Kitsap Childrens Clinic LLP | Pediatrics | 450 South Kitsap Blvd, Suite 2300, Port Orchard, WA 98366 | 2006-10-10 |
| 1013967512 | John Joseph Corrales-diaz | Pediatrics | 450 S Kitsap Blvd, Bldg. 1, Suite 250, Port Orchard, WA 98366-3773 | 2006-05-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487252011 | T-town Pediatrics Pllc | Pediatrics | 6002 Westgate Blvd Ste 260, Tacoma, WA 98406-2571 | 2020-10-15 |
| 1659997831 | Lauren Elizabeth Strout | Pediatrics | 2510 N Pines Rd Ste 1, Spokane Valley, WA 99206-7636 | 2020-06-23 |
| 1376170878 | Andrew Crompton Yazman | Pediatrics | 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 | 2020-03-25 |
| 1407491251 | Edwin Low | Pediatrics | 6207 156th Ave Ne, Redmond, WA 98052-4828 | 2019-11-14 |
| 1700428323 | Michelle Kice | Pediatrics | 6201 Reid Dr Nw, Gig Harbor, WA 98335-1349 | 2019-10-15 |
| 1265085682 | North Sound Pediatrics | Pediatrics | 15808 Mill Creek Blvd Ste 201, Mill Creek, WA 98012-1500 | 2019-07-24 |
| 1053976589 | Nicole Marie Banks | Pediatrics | 9910 Levin Rd Nw Ste 200, Silverdale, WA 98383-7789 | 2019-05-09 |
| 1962964726 | Michael Arenson | Pediatrics | 4800 Sand Point Way Ne # Oc 7/8, Seattle, WA 98105-3901 | 2019-04-02 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1720553613 | Christine Eyler | Pediatrics | Bellevue Pediatrics, C & C Medical Associates, 1940 116th Ave Ne, Ste 200, Bellevue, WA 98004 | 2018-10-08 |
| Find all providers with the same taxonomy | ||||
| City | PORT ORCHARD |
| Zip Code | 98366 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.