Basic Information
| Provider Information | |||||||||
| NPI: | 1386843894 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CHO | ||||||||
| FirstName: | SUNGEYUN | ||||||||
| MiddleName: | DAVID | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9900 SE SUNNYSIDE RD | ||||||||
| Address2: | DEPT OF SURGERY | ||||||||
| City: | CLACKAMAS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970159777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038132000 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 9900 SE SUNNYSIDE RD | ||||||||
| Address2: | DEPT OF SURGERY | ||||||||
| City: | CLACKAMAS | ||||||||
| State: | OR | ||||||||
| PostalCode: | 970159777 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5038132000 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/13/2007 | ||||||||
| LastUpdateDate: | 02/04/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208C00000X | MD60540689 | WA | N | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery | 390200000X | LL16897 | OR | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 208C00000X | MD154771 | OR | Y | Allopathic & Osteopathic Physicians | Colon & Rectal Surgery |
No ID Information.