Provider Demographics
NPI:1144276858
Name:JUNN, EDWARD HOUK CHUN (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:HOUK CHUN
Last Name:JUNN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9742 NW SKYVIEW DR
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97231-2668
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:9742 NW SKYVIEW DR
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97231-2668
Practice Address - Country:US
Practice Address - Phone:503-784-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD60718425207P00000X
ORMD22282207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8450090Medicaid
858543024OtherREGENCE BCBS
K854467OtherPACIFIC SOURCE
ORP01031184OtherRR MEDICARE
208970OtherWA L & I
P00313910OtherRAILROAD MEDICARE
OR288176Medicaid
ORR159440Medicare PIN
ORR159441Medicare PIN
ORP01031184OtherRR MEDICARE
ORR159439Medicare PIN
ORR159438Medicare PIN
OR288176Medicaid
R134236Medicare PIN