Active NPI
Christine Myung-Sook Cha, MD
- Radiation Oncology Physician
- Bellingham, WA
National Provider Identifier
1053313817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- MD24657
- Practice address
- 3301 Squalicum Pkwy
Bellingham, WA 98225-1919 - Phone
- (360) 788-8222
- Fax
- (360) 788-7759
- NPI assigned
- Aug 11, 2005
- Last updated
- Mar 8, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | MD24657 | OR | Primary |
| Radiation Oncology Physician | 2085R0001X | MD36543 | WA |
Addresses
Primary practice location
3301 Squalicum Pkwy
Bellingham, WA 98225-1919
Mailing address
1115 SE 164TH Ave Dept 358
Vancouver, WA 98683-8004
Phone (360) 729-1412
Other practice location 1
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-7878
Other practice location 2
9205 SW Barnes Rd
Portland, OR 97225-6603
Phone (503) 216-2195
Other practice location 3
8821 NE 5th Street
vancouver, WA 98664
Phone (360) 514-1900
Other practice location 4
2000 Hospital Dr
Sedro Woolley, WA 98284-4327
Phone (360) 856-7518
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8230930 | Medicaid | WA | |
| 227210 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD36543 | WA | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Clackamas Radiation Oncology Center | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PeaceHealth Southwest Medical Center
- General Acute Care Hospital
- Vancouver, WA
- NPI 1134178999
-
dba PeaceHealth Medical Group
- Sleep Disorder Diagnostic Clinic/Center
- Bellingham, WA
- NPI 1265692842
-
- Radiation Oncology Clinic/Center
- Clackamas, OR
- NPI 1053649475
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646697600000",
"number": "1053313817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1115 SE 164TH AVE DEPT 358",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986838004",
"telephone_number": "360-729-1412",
"fax_number": "360-729-3025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3301 SQUALICUM PKWY",
"city": "BELLINGHAM",
"state": "WA",
"postal_code": "982251919",
"telephone_number": "360-788-8222",
"fax_number": "360-788-7759"
}
],
"practiceLocations": [
{
"address_1": "1615 Delaware St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322367",
"country_code": "US",
"telephone_number": "360-414-7878",
"fax_number": "360-414-7876",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9205 SW Barnes Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256603",
"country_code": "US",
"telephone_number": "503-216-2195",
"fax_number": "503-216-2196",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8821 NE 5th Street",
"address_purpose": "LOCATION",
"city": "vancouver",
"state": "WA",
"postal_code": "98664",
"country_code": "US",
"telephone_number": "360-514-1900",
"fax_number": "360-514-1910",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2000 Hospital Dr",
"address_purpose": "LOCATION",
"city": "Sedro Woolley",
"state": "WA",
"postal_code": "982844327",
"country_code": "US",
"telephone_number": "360-856-7518",
"fax_number": "360-856-7252",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHA",
"first_name": "CHRISTINE",
"middle_name": "MYUNG-SOOK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-11",
"last_updated": "2022-03-08",
"certification_date": "2022-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OR",
"license": "MD24657",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "WA",
"license": "MD36543",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8230930",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "227210",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Bellingham, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.