Chung, David S
Chung, David S is an sole proprietor health care provider with primary practice located at 4055 Sw 185Th Ave Suite 100, Aloha OR 97078-1567. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Chung, David S can be contacted via phone (503) 591-7449.Contact Information
Primary practice address
4055 Sw 185Th Ave Suite 100
Aloha OR 97078-1567
Phone: (503) 591-7449
Fax: (503) 591-5826
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | DP00157 | Oregon |
Profile Details
| NPI number | 1376552778 |
|---|---|
| LBN Legal business name | Chung, David S |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Dec 2nd, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376552778 | NPPES |
| Oregon | MEDICAID | 118646 |
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