Individual
DENISE CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD24677
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
019720006
REGENCE
—
05
—
232847
—
OR
01
—
911019392
COMMERCIAL
—
Enumeration date
10/12/2006
Last updated
03/08/2021
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