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General NPI Number Information
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NPI Number | 1396777926
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Entity Type | Individual
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Provider Name | JONATHAN SEHJIN CHUN MD
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Gender | Male
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Dates
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Enumeration Date | 07/06/2006
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 10000 SE MAIN ST STE 316
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City | PORTLAND
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State | OR
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Zip | 97216-2470
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Country | US
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Telephone | 503-256-1575
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Fax | 503-253-9848
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Provider Business Mailing Address
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Address Line | 10000 SE MAIN ST STE 316
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City | PORTLAND
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State | OR
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Zip | 97216-2470
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Country | US
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Telephone | 503-256-1575
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | BC61205873
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 49366
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | D71895
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License Number State | MD
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Taxonomy #4
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | BC61205873
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License Number State | WA
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Taxonomy #5
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | MD176699
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License Number State | OR
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Taxonomy #6
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 43060
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number | 2008017345
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License Number State | MO
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Taxonomy #8
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | MD176699
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License Number State | OR
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