Individual
MR. JOHNNY WEI-TING SUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2211 NE 139TH ST, VANCOUVER, WA 98686-2742
(360) 487-5090
(360) 487-5009
Mailing address
8650 NW RYAN ST, PORTLAND, OR 97229-9181
(503) 292-0809
(503) 292-0809
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00044702
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
227003
—
OR
05
—
8358590
—
WA
Enumeration date
03/09/2006
Last updated
08/27/2007
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