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NPI Code Detail

MEDICARE: DENISE CHUN

MEDICARE:   DENISE  CHUN
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
1207Q00000XFamily Medicine PhysicianMD24677OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1019720006OTHERREGENCE
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3911019392OTHERCOMMERCIAL

General Provider Information

NPI Number : 1902995376
Entity Type Code : Individual
Provider Name (Legal Business Name) : DENISE CHUN
Provider Business Mailing Address
First Line : 1175 MOUNT HOOD AVE
Second Line :
City : WOODBURN
State : OR
Zip : 97071-9060
Country : US
Telephone Number : 503-982-2000
Fax Number : 503-982-0660
Provider Business Practice Location Address
First Line : 1175 MOUNT HOOD AVE
Second Line :
City : WOODBURN
State : OR
Zip : 97071-9060
Country : US
Telephone Number : 503-982-2000
Fax Number : 503-982-0660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/12/2006
Last Update Date : 03/08/2021

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Directions to “ DENISE CHUN ” Practice Location

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