Kooyeoll Jung, L.AC

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC00000658 Issued in WA

Practice address

11516 SE Mill Plain Blvd Ste 2K
Vancouver, WA 98684-5082

Phone

(360) 885-3395

Fax

(360) 885-3453

NPI assigned

Oct 10, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mr. Eric K Jung Professional name

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": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982792362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD STE 2K",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845082",
            "telephone_number": "360-885-3395",
            "fax_number": "360-885-3453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11516 SE MILL PLAIN BLVD STE 2K",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986845082",
            "telephone_number": "360-885-3395",
            "fax_number": "360-885-3453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUNG",
        "first_name": "KOOYEOLL",
        "name_prefix": "Mr.",
        "credential": "L.AC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "WA",
            "license": "AC00000658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "JUNG",
            "middle_name": "K",
            "prefix": "MR.",
            "credential": "L.AC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Jennifer Judd
• Rebekah Ann Juhala
• Douglas Dale Julian, LDO
• Nathan Julian
• Oriahna June June, OTD
• Sehee Jung
• Mary Patricia Birdelle Junkin, PA-C, MPAS
• Joseph Jura, MD
• Brettney Dawn Marie Jurek
• John Nicholas Jurgensen

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.