MEDICARE: CHEN-MIN STEVEN HUNG 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	207QS0010X	Sports Medicine (Family Medicine) Physician	MD70081438	WA

General Provider Information

NPI Number	:	1558941807
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHEN-MIN STEVEN HUNG MD

Provider Business Mailing Address
First Line	:	700 NE 87TH AVE STE 120
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 NE 87TH AVE STE 120
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98664-4896
Country	:	US
Telephone Number	:	360-882-2778
Fax Number	:

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

Provider Enumeration Date	:	04/12/2021
Last Update Date	:	01/07/2026

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