Bum Jung Ko

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC60015192 Issued in WA

Practice address

12 E Rowan Ave Ste L4
Spokane, WA 99207

Phone

(509) 315-5751

Fax

(509) 315-5751

NPI assigned

Oct 2, 2007

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1053508119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 E ROWAN AVE STE L4",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992071281",
            "telephone_number": "509-315-5751",
            "fax_number": "509-315-5751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 E ROWAN AVE STE L4",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99207",
            "telephone_number": "509-315-5751",
            "fax_number": "509-315-5751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KO",
        "first_name": "BUM JUNG",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC11671",
            "primary": false
        },
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC60015192",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittney Knudson, PA
• Rebecca Lee Knuth, MD
• Jennifer Leigh Knutson, MSW, LICSW
• Sandee Knuttgen, ARNP
• Gabrielle Kainoa Knutzen, RDH
• Dianna Marie Koberstine, RN
• Bruce Evan Koch, CRNA MSN
• Kendall Koch
• Lisa M Koch, PH.D.
• Todd C Koch, NP

• Acupuncturist in Spokane, WA
• Providers in Spokane, WA by specialty
• Acupuncturist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.