Individual
JAE MIN JUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10180 SE SUNNYSIDE RD, CLACKAMAS, OR 97015-8970
(800) 813-2000
Mailing address
500 NE MULTNOMAH ST STE 100, PORTLAND, OR 97232-2031
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
10018660
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
10018660
OR
367500000X
Certified Registered Nurse Anesthetist
324901
AZ
Other
Enumeration date
10/04/2021
Last updated
12/18/2025
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