Individual
EUNLEE CHUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO, PHD
Contact information
Practice address
400 9TH ST, FLORENCE, OR 97439-7398
(541) 997-8412
(541) 902-1320
Mailing address
1115 SE 164TH AVE DEPT 358, VANCOUVER, WA 98683-8004
(360) 729-1253
(360) 729-3185
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
4662
AZ
208M00000X
Hospitalist Physician
Primary
DO198928
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1962697920
BCBS
AZ
05
—
263711
—
AZ
Enumeration date
09/12/2007
Last updated
11/18/2024
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