Provider Demographics
NPI:1568429249
Name:CHEUNG, JASON CHUN-BOND (MD)
Entity Type:Individual
Prefix:DR
First Name:JASON
Middle Name:CHUN-BOND
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 5299
Mailing Address - Street 2:MS: 820-5-PCO
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98415-0299
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9800 LEVIN RD NW
Practice Address - Street 2:SUITE 208
Practice Address - City:SILVERDALE
Practice Address - State:WA
Practice Address - Zip Code:98383-7849
Practice Address - Country:US
Practice Address - Phone:360-698-0600
Practice Address - Fax:360-613-0222
Is Sole Proprietor?:No
Enumeration Date:2006-04-27
Last Update Date:2024-02-26
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00036111207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA7111438Medicaid
WA912160819OtherTAX ID #
WAG70470Medicare UPIN
WA7111438Medicaid