Active NPI
Eun K Kwon Washington Health Care
- Family Medicine Physician
- University Place, WA
National Provider Identifier
1639189004
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- EUN K KWON WASHINGTON HEALTH CARE
- Practice address
- 2525 87TH Ave W # 13-138
2525 87TH Ave W # 13-138
University Place, WA 98466-1821 - Phone
- (253) 582-3094
- NPI assigned
- Aug 9, 2006
- Last updated
- Mar 8, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Eun Kyung Kwon
- Title
- Owner
- Phone
- (253) 582-3094
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | NU | Primary |
Addresses
Primary practice location
2525 87TH Ave W # 13-138
2525 87TH Ave W # 13-138
University Place, WA 98466-1821
Mailing address
2525 87TH Ave W # 13-138
University Place, WA 98466-1821
Phone (253) 582-3094
National Provider Directory
National Provider DirectoryLocations
9205 South Tacoma Way
Ste 106
Lakewood, WA 98499
Phone (253) 582-3094
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Legal Medicine
- Norwalk, CA
- NPI 1801026844
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331164800000",
"number": "1639189004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2525 87TH AVE W # 13-138",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984661821",
"telephone_number": "253-582-3094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 87TH AVE W # 13-138",
"address_2": "2525 87TH AVE W # 13-138",
"city": "UNIVERSITY PLACE",
"state": "WA",
"postal_code": "984661821",
"telephone_number": "253-582-3094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "EUN K KWON WASHINGTON HEALTH CARE",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-09",
"last_updated": "2012-03-08",
"status": "A",
"authorized_official_last_name": "KWON",
"authorized_official_first_name": "EUN",
"authorized_official_middle_name": "KYUNG",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "253-582-3094"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in University Place, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.