Provider Demographics
NPI:1275677478
Name:CHUN, SOOYOUNG (ND)
Entity Type:Individual
Prefix:
First Name:SOOYOUNG
Middle Name:
Last Name:CHUN
Suffix:
Gender:F
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1601 116TH AVE NE STE 113
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-3010
Mailing Address - Country:US
Mailing Address - Phone:425-233-8254
Mailing Address - Fax:425-454-7827
Practice Address - Street 1:1601 116TH AVE NE STE 113
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3010
Practice Address - Country:US
Practice Address - Phone:425-233-8254
Practice Address - Fax:425-454-7827
Is Sole Proprietor?:No
Enumeration Date:2007-02-19
Last Update Date:2022-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANT00001467175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath