# THOMAS TAI CHUNG MD PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700029600
- **Authorized official:** THOMAS TAI CHUNG MD (OWNER/SOLE MEMBER)
- **Authorized official phone:** (206) 320-2675

## Contact information

- **Practice address:** 1600 E JEFFERSON ST, SUITE 620, SEATTLE, WA 98122-5698
- **Practice address phone:** (206) 320-2675
- **Practice address fax:** (206) 320-4302
- **Mailing address:** 1600 E JEFFERSON ST, SUITE 620, SEATTLE, WA 98122-5698
- **Mailing address phone:** (206) 320-2675
- **Mailing address fax:** (206) 320-4302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | MD00038197 | WA | Yes |

## Other

- **Enumeration date:** 04/08/2009
- **Last updated:** 04/08/2009