MR. Derek Sun

NPI #1003266891 in Portland, Oregon

Provider Information

NPI Number: 1003266891
Entity Type: Individual
Name: MR. Derek Sun
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Adult Companion
Enumeration Date: Jun 13, 2016
Last Updated: Jun 13, 2016

Practice Location

Address: 847 NE 19TH AVE
Address 2: SUITE 100
City: Portland
State: Oregon
ZIP Code: 97232-2684
Phone: (503) 238-0769

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Adult Companion	372600000X	Primary

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