Individual
TIMOTHY CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1802 YAKIMA AVE, SUITE 302, TACOMA, WA 98405-4499
(253) 627-1244
(253) 627-3520
Mailing address
PO BOX 3797, SEATTLE, WA 98124-3797
(253) 627-1244
(253) 627-3520
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD00017693
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0177826
DEPARTMENT OF L&I
WA
01
—
1300CH
REGENCE
WA
05
—
1527308
—
WA
01
—
1707CH
REGENCE
WA
01
—
1800CH
REGENCE
WA
01
—
1802CH
REGENCE
WA
01
—
4723CH
REGENCE
WA
01
—
P00143778
RAILROAD MEDICARE
WA
Enumeration date
01/11/2007
Last updated
07/09/2007
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