Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2080P0208X | Pediatric Infectious Diseases | MD00027428 | WA |
Y | 2080P0208X | Pediatric Infectious Diseases | MD16829 | OR |
NPI | 1346253895 |
---|---|
Provider Name | Colleen S. Y. Chun |
First Address | Vancouver, WA 98665-9506 |
Second Address | Portland, OR 97239-3011 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/08/2006 |
Last Update Date | 08/07/2007 |