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1336122274

NPI Code Detail

MEDICARE: DR. YOUNG K CHOI M.D.

MEDICARE: DR. YOUNG K CHOI M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	MD60226463	WA
2	207RG0100X	Gastroenterology Physician	MD60226463	WA
3	207RG0100X	Gastroenterology Physician	MD186697	OR

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	0284147	OTHER	WA	L & I
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336122274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. YOUNG K CHOI M.D.

Provider Business Mailing Address
First Line	:	800 SW 13TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97205-1902
Country	:	US
Telephone Number	:	503-221-0161
Fax Number	:

Provider Business Practice Location Address
First Line	:	800 SW 13TH AVE
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97205-1902
Country	:	US
Telephone Number	:	503-221-0161
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	11/06/2020

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Directions to “ DR. YOUNG K CHOI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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