Individual
CRYSTAL HUI-LIN CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA C
Contact information
Practice address
315 MLK JR WAY, TACOMA, WA 98405
(253) 680-6016
Mailing address
315 MLK JR WAY, TACOMA, WA 98405
(253) 680-6016
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA10004172
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0222398
LIWA
WA
01
—
7575CH
BSWA
WA
05
—
8380784
—
WA
Enumeration date
12/27/2005
Last updated
05/24/2016
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