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1396777926

NPI Code Detail

MEDICARE: JONATHAN SEHJIN CHUN MD

MEDICARE: JONATHAN SEHJIN CHUN MD

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	208600000X	Surgery Physician	BC61205873	WA
2	208600000X	Surgery Physician	49366	WI
3	208600000X	Surgery Physician	D71895	MD
4	208C00000X	Colon & Rectal Surgery Physician	BC61205873	WA
5	208C00000X	Colon & Rectal Surgery Physician	MD176699	OR
6	208C00000X	Colon & Rectal Surgery Physician	43060	KY
7	208C00000X	Colon & Rectal Surgery Physician	2008017345	MO
8	208600000X	Surgery Physician	MD176699	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	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1396777926
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JONATHAN SEHJIN CHUN MD

Provider Business Mailing Address
First Line	:	10000 SE MAIN ST STE 316
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97216-2470
Country	:	US
Telephone Number	:	503-256-1575
Fax Number	:

Provider Business Practice Location Address
First Line	:	10000 SE MAIN ST STE 316
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97216-2470
Country	:	US
Telephone Number	:	503-256-1575
Fax Number	:	503-253-9848

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

Provider Enumeration Date	:	07/06/2006
Last Update Date	:	02/13/2025

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Directions to “ JONATHAN SEHJIN CHUN MD” 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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