Provider Demographics
NPI:1710318902
Name:CHOI, EUNYOUNG (EAMP)
Entity Type:Individual
Prefix:
First Name:EUNYOUNG
Middle Name:
Last Name:CHOI
Suffix:
Gender:F
Credentials:EAMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13000 ADMIRALTY WAY
Mailing Address - Street 2:UNIT B 304
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98204-6259
Mailing Address - Country:US
Mailing Address - Phone:425-830-7612
Mailing Address - Fax:
Practice Address - Street 1:16510 CLEVELAND ST
Practice Address - Street 2:SUITE O
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-4439
Practice Address - Country:US
Practice Address - Phone:425-869-7400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-12-12
Last Update Date:2013-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60185180133N00000X
WADI60344908133V00000X
WAAC60330063171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No133N00000XDietary & Nutritional Service ProvidersNutritionist
No133V00000XDietary & Nutritional Service ProvidersDietitian, Registered