Provider Demographics
NPI:1568604106
Name:CHO, JANG EUN (MD)
Entity Type:Individual
Prefix:
First Name:JANG
Middle Name:EUN
Last Name:CHO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4458 GOLDEN WEST CT
Mailing Address - Street 2:
Mailing Address - City:GIG HARBOR
Mailing Address - State:WA
Mailing Address - Zip Code:98335-7399
Mailing Address - Country:US
Mailing Address - Phone:253-780-1786
Mailing Address - Fax:877-286-4106
Practice Address - Street 1:4458 GOLDEN WEST CT
Practice Address - Street 2:
Practice Address - City:GIG HARBOR
Practice Address - State:WA
Practice Address - Zip Code:98335-7399
Practice Address - Country:US
Practice Address - Phone:253-780-1786
Practice Address - Fax:877-286-4106
Is Sole Proprietor?:No
Enumeration Date:2009-03-27
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00799592084P0800X
DCMD0424622084P0800X
VA01012589462084P0800X
WAMD608125432084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry