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Individual

JEANNIE YANG CHUN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
9427 SW BARNES RD STE 395, PORTLAND, OR 97225-6652
(503) 216-6050
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
(503) 215-6494

Taxonomy

Speciality
Code
Description
License number
State
2086S0120X
Pediatric Surgery Physician
42458
KY
2086S0120X
Pediatric Surgery Physician
Primary
MD177023
OR

Other

Enumeration date
05/09/2006
Last updated
02/19/2021
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