Healthcare Provider Details

I. General information

NPI: 1447343967
Provider Name (Legal Business Name): TIMOTHY J UNGS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6626 CHAPEL HILL BLVD APT L104
PASCO WA
99301-3880
US

IV. Provider business mailing address

PO BOX 2870 6626 CHAPEL HILL BLVD., #L-104
PASCO WA
99302-2870
US

V. Phone/Fax

Practice location:
  • Phone: 360-920-6867
  • Fax:
Mailing address:
  • Phone: 360-920-6867
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2083X0100X
TaxonomyOccupational Medicine Physician
License NumberMD00016756
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD00016756
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code202C00000X
TaxonomyIndependent Medical Examiner Physician
License NumberMD00016756
License Number StateWA
# 4
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberMD00016756
License Number StateWA
# 5
Primary TaxonomyN
Taxonomy Code2083A0100X
TaxonomyAerospace Medicine Physician
License NumberMD00016756
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: