Provider Demographics
NPI:1902335292
Name:MEEKS, DIANA SUEWAH TRINH (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:DIANA
Middle Name:SUEWAH TRINH
Last Name:MEEKS
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:MS
Other - First Name:DIANA
Other - Middle Name:SUEWAH
Other - Last Name:TRINH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:301 S 320TH ST
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5200
Mailing Address - Country:US
Mailing Address - Phone:206-630-2856
Mailing Address - Fax:206-630-2887
Practice Address - Street 1:301 S 320TH ST
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5200
Practice Address - Country:US
Practice Address - Phone:206-630-2856
Practice Address - Fax:206-630-2887
Is Sole Proprietor?:No
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPA60927191363AM0700X
WA60927191363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
No363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical