Yun, Johnny

Yun, Johnny is an individual health care provider with primary practice located at 9155 Sw Barnes Rd Ste 440, Portland OR 97225-6625. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Yun, Johnny can be contacted via phone (503) 297-3766.

Contact Information

Primary practice address
9155 Sw Barnes Rd Ste 440 Portland OR 97225-6625
Phone: (503) 297-3766
Fax: (503) 297-8148
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA 00686 Oregon

Profile Details

NPI number 1538155312
LBN Legal business name Yun, Johnny
Credentials PA C
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2005
Last updated Sep 24th, 2013 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538155312 NPPES
Washington MEDICAID 1538155312
Washington MEDICAID 500604584

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