Kenny Jung, MSOM., LAC.

NPI #1366896367 in Beaverton, Oregon

Provider Information

NPI Number: 1366896367
Entity Type: Individual
Name: Kenny Jung, MSOM., LAC.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Acupuncturist
Credential: MSOM., LAC.
Enumeration Date: Apr 16, 2016
Last Updated: Apr 16, 2016

Practice Location

Address: 4525 SW 109TH AVE
City: Beaverton
State: Oregon
ZIP Code: 97005-3022
Phone: (503) 643-3835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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