Jackelin Q Tran, D.O., MS
Family Medicine in Everett, WA. Individual provider (NPI-1).
NPI number1457748675
StatusActive
Last updated in NPPESJan 4, 2019
Details
- NPI
- 1457748675
- Entity type
- Individual (NPI-1)
- Name
- Jackelin Q Tran
- Credential
- D.O., MS
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 26, 2015
- Last updated
- Jan 4, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - FAMILY PRACTICE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | OP60708709 | WA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
3901 Hoyt AveEverett, WA 98201-4918
Phone 425-259-0966 · Fax 360-454-1991
Mailing address
Po Box 5127Everett, WA 98206-5127
Phone 425-259-0966 · Fax 360-454-1991
Other practice locations
104 W 5th Ave Ste 200w
Spokane, WA 99204-4803
Spokane, WA 99204-4803
Phone 509-624-2313
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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