Organization Active NPI

Eun K Kwon Washington Health Care

  • Family Medicine Physician
  • University Place, WA
National Provider Identifier
1639189004
Registry record updated Mar 8, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2012

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

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.

Verify at the official NPI Registry.