Provider Demographics
NPI:1447606918
Name:FIRST CHOICE HEALTH CENTER
Entity type:Organization
Organization Name:FIRST CHOICE HEALTH CENTER
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:JANG
Authorized Official - Suffix:
Authorized Official - Credentials:DC,LAC
Authorized Official - Phone:425-245-7122
Mailing Address - Street 1:2122 164TH ST SW
Mailing Address - Street 2:SUIT203
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98087-7811
Mailing Address - Country:US
Mailing Address - Phone:425-245-7122
Mailing Address - Fax:888-741-1274
Practice Address - Street 1:2122 164TH ST SW
Practice Address - Street 2:SUIT203
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98087-7811
Practice Address - Country:US
Practice Address - Phone:425-245-7122
Practice Address - Fax:888-741-1274
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-13
Last Update Date:2016-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH34706111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty