Ji Min Jung, | |
12900 Sw Crescent St Apt 509, Beaverton, OR 97005-1790 | |
(615) 545-3789 | |
Not Available |
Full Name | Ji Min Jung |
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Gender | Female |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 12900 Sw Crescent St Apt 509, Beaverton, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1194434993 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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367500000X | Nurse Anesthetist, Certified Registered | 10018665 (Oregon) | Primary |
Entity Name | Hospitalist Medicine Physicians Of Washington - Tcs |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649816380 PECOS PAC ID: 6800240102 Enrollment ID: O20230920001616 |
Mailing Address | Practice Location Address |
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Ji Min Jung, 12900 Sw Crescent St Apt 509, Beaverton, OR 97005-1790 Ph: () - | Ji Min Jung, 12900 Sw Crescent St Apt 509, Beaverton, OR 97005-1790 Ph: (615) 545-3789 |
Rena Apon, CRNA, PMHNP Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 12150 Sw 1st St, Beaverton, OR 97005 Phone: 503-530-8521 | |
Myron Dean Kirkwood, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 14525 Sw Millikan Way # 9658, Beaverton, OR 97005 Phone: 503-507-3117 Fax: 866-336-9931 |