Individual
JORDAN S D Y CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2808
Mailing address
275 BRONSON WAY NE, RENTON, WA 98056-4030
(425) 235-2808
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
MD-14369
HI
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD00046662
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000269092
HMSA BILLING NUMBER
HI
05
—
599318-02
—
HI
05
—
8554875
—
WA
Enumeration date
08/21/2006
Last updated
03/31/2021
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