Individual
CHRISTINA CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 112TH AVE NE STE B100, BELLEVUE, WA 98004-3751
(425) 462-1132
(425) 456-3668
Mailing address
PO BOX 25608, SALT LAKE CITY, UT 84125-0608
(206) 320-4476
(206) 568-7043
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
AP60687968
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/26/2016
Last updated
10/07/2020
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