Organization Name: | MEDIART FAMILY CLINIC |
NPI Number: | 1013185909 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SOOYOUNG CHUN (ND) |
Mailing Address: | 1530 140th Ave Ne Ste 101 Bellevue |
State: | WA US |
Postal Code: | 980054574 |
Phone Number: | 4252338254 |
Fax Number: | 4254547827 |
NPI Enumeration Date: | 02/14/2008 |
NPI Last Update Date: | 02/14/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | NT00001467 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |