# DR. HEESOON JUN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1407073158
- **Gender:** F
- **Credential:** PH.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | PY00001144 | WA | Yes |

## Other

- **Enumeration date:** 04/20/2007
- **Last updated:** 11/23/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 095918000 | REGENCE OF OREGON | OR |
| 01 | — | 140707315801 | MHN SERVICES | KY |
| 01 | — | 140707315801 | PROVIDENCE HEALTH PLAN | OR |
| 01 | — | 210697100000 | PREMERA | WA |
| 01 | — | JU4714 | REGENCE | WA |