Individual
PHILIP H CHUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
500 17TH AVE, SEATTLE, WA 98122-5711
(206) 320-4476
(206) 568-7043
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD60158346
WA
2084P0802X
Addiction Psychiatry Physician
MD60158346
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528263738
—
WA
Enumeration date
06/18/2007
Last updated
11/05/2020
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