Individual
ALAN C. SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1615 DELAWARE ST, LONGVIEW, WA 98632-2367
(360) 501-3601
Mailing address
3600 LIND AVE SW, SUITE 100 ATTN: CREDENTIALING, RENTON, WA 98057
(425) 228-3440
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
253441
MA
207R00000X
Internal Medicine Physician
A116779
CA
207R00000X
Internal Medicine Physician
MD437935
PA
207R00000X
Internal Medicine Physician
MD60138073
WA
208M00000X
Hospitalist Physician
Primary
MD60138073
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007196
—
WA
01
—
G8967051
MEDICARE
WA
Enumeration date
09/30/2008
Last updated
04/06/2021
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