Organization
CHRISTIAN FAMILY CARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YOUNG H LEE MD (PRESIDENT)
(253) 874-5404
Entity
Organization
Contact information
Practice address
33507 9TH AVE S, BUILDING A, FEDERAL WAY, WA 98003-6397
(253) 874-5404
(253) 874-8964
Mailing address
8511 SOUTH TACOMA WAY #200, TACOMA, WA 98499
(253) 588-4015
(253) 588-4035
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
MD00044106
WA
207R00000X
Internal Medicine Physician
MD00029607
WA
261QP2300X
Primary Care Clinic/Center
Primary
MD00029607
WA
363LA2200X
Adult Health Nurse Practitioner
AP30006909
WA
363LF0000X
Family Nurse Practitioner
AP30006808
WA
363LF0000X
Family Nurse Practitioner
AP30006915
WA
363LF0000X
Family Nurse Practitioner
AP60126966
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0155621
L&I, YOUNG H. LEE, MD
—
05
—
1014389
—
WA
01
—
1022327
PROVIDERONE
—
05
—
1033556
—
WA
05
—
1114743
—
WA
01
—
1386694982
JAI JUN BYEON
—
01
—
1609836717
YOUNG JU NAM, ARNP
WA
01
—
1679610885
KI-DEUK WOHLFERT, ARNP
WA
01
—
1699004234
DOSOON SOH, ARNP
—
01
—
1922101500
YOUNG H. LEE, MD
WA
05
—
2003030
—
WA
05
—
2007050
—
WA
05
—
8453284
—
WA
05
—
94964303
—
WA
Enumeration date
02/28/2007
Last updated
07/21/2022
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