SearchWashington171100000X

Kooyeoll Jung, L.AC

NPI 1982792362 · on the registry since 2006

Practice

Address
11516 Se Mill Plain Blvd Ste 2k
Vancouver, WA 98684
Phone
(360) 885-3395
Fax
(360) 885-3453
Organisation at this address
Luna Healthcare Llc
Michael B. Pettet, Dc, Ps
Planned Parenthood Of The Columbia/Willamette
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
171100000X
171100000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington