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Individual
CHONG SUP HAN
Active
Individual
CHONG SUP HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD225697
OR
207Q00000X
Family Medicine Physician
Primary
MD61691215
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2022
Last updated
02/12/2026
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