Yi, Eun Jung
Yi, Eun Jung is an sole proprietor health care provider with primary practice located at 2312 Ne 129Th St , Vancouver WA 98686-3236. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Pain Medicine is her primary health care specialty. Yi, Eun Jung can be contacted via phone (360) 696-5022.Contact Information
Primary practice address
2312 Ne 129Th St
Vancouver WA 98686-3236
Phone: (360) 696-5022
Fax: (360) 666-0466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD153969 | Oregon |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | MD153969 | Oregon |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MD60306086 | Washington |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | MED T 8395 | Alaska |
Profile Details
| NPI number | 1376731208 |
|---|---|
| LBN Legal business name | Yi, Eun Jung |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 4th, 2007 |
| Last updated | Oct 8th, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376731208 | NPPES |
| Oregon | MEDICAID | 500651332 | |
| Oregon | Other | 617287700 | |
| Oregon | MEDICAID | 1376731208 | |
| Oregon | Other | 500049 | |
| Oregon | Other | P01146797 | |
| Oregon | Other | 0307166 | |
| Oregon | Other | 3959280 |
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