Provider Demographics
NPI:1851860365
Name:RA, YOON JUNG (ACAG-NP/APRN)
Entity type:Individual
Prefix:MS
First Name:YOON
Middle Name:JUNG
Last Name:RA
Suffix:
Gender:F
Credentials:ACAG-NP/APRN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1229 MADISON ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-3590
Mailing Address - Country:US
Mailing Address - Phone:206-860-5582
Mailing Address - Fax:206-720-7526
Practice Address - Street 1:1229 MADISON ST STE 1600
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-3590
Practice Address - Country:US
Practice Address - Phone:206-860-5582
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-11-14
Last Update Date:2025-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXAP139713363LA2100X, 363LG0600X
WAAP61005991363LG0600X, 363LA2100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LA2100XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerAcute Care
No363LG0600XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGerontology