Provider Demographics
NPI:1982820189
Name:YUN, CHONG RYAN (DC)
Entity Type:Individual
Prefix:DR
First Name:CHONG
Middle Name:RYAN
Last Name:YUN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:DR
Other - First Name:RYAN
Other - Middle Name:
Other - Last Name:YUN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:7914 MARTIN WAY E
Mailing Address - Street 2:STE #8
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98516-5728
Mailing Address - Country:US
Mailing Address - Phone:360-339-7177
Mailing Address - Fax:360-339-7177
Practice Address - Street 1:7914 MARTIN WAY E
Practice Address - Street 2:STE #8
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5728
Practice Address - Country:US
Practice Address - Phone:360-339-7177
Practice Address - Fax:360-339-7177
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACHOOO34285111NN1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111NN1001XChiropractic ProvidersChiropractorNutrition