Provider Demographics
NPI:1861985236
Name:CHON, AMOS YOUNG WON (DC)
Entity type:Individual
Prefix:DR
First Name:AMOS
Middle Name:YOUNG WON
Last Name:CHON
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25339 128TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98030-6605
Mailing Address - Country:US
Mailing Address - Phone:253-630-9777
Mailing Address - Fax:
Practice Address - Street 1:27641 COVINGTON WAY SE # 2
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:WA
Practice Address - Zip Code:98042-9120
Practice Address - Country:US
Practice Address - Phone:253-630-9777
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-11
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA34239111N00000X
WA61074778111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor