MR. JEONG BUM LEE (NPI# 1649571944) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649571944 |
| Entity Type | Individual |
| Full Name | MR. JEONG BUM LEE |
| Credential | LMP |
| Practice Address |
1048 W James St Ste 104 Kent WA 98032-4600 |
| Mailing Address |
28210 51st Pl S Auburn WA 98001-1932 |
| Practice Telephone | 2538502800 |
| Practice Fax Number | 2538502805 |
| Mailing Telephone | 2068563731 |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MA60190442 | WA | Other Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598251472 | Jeong Eun Lee | Acupuncturist | 26 Carter St, Norwood, NJ 07648-1518 | 2018-07-03 |
| 1295019297 | Jeong Lee | Pharmacist | 12109 Apple Valley Rd, Apple Valley, CA 92308 | 2011-10-10 |
| 1164653218 | Jeong Sook Lee | Dentist | 188 Longwood Ave, Boston, MA 02115-5819 | 2009-08-06 |
| 1366596132 | Jeong Ran Oh Lee | Pediatrics | 14 Heyward St, Brooklyn, NY 11249-7823 | 2007-01-22 |
| 1134180946 | Jeong Ok Lee | Pediatrics | 1801 W Romneya Dr, Suite #606, Anaheim, CA 92801-1830 | 2006-03-31 |
| 1942287750 | Jeong M Lee | Internal Medicine | 850 Harrison Ave, Acc-3, Boston, MA 02118-4072 | 2005-12-22 |
| Street Address |
1048 W JAMES ST STE 104 |
| City | KENT |
| State | WA |
| Zip Code | 98032-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184996159 | Evergreen Massage Therapy, Ps | Specialist | 1048 W James St Ste 104, Kent, WA 98032-4600 | 2012-02-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952866790 | Cornerstone Ocd Anxiety | Counselor | 415 Railroad Ave S, Kent, WA 98032 | 2019-02-06 |
| 1861962458 | Mohamed Osman Awad | Counselor | 124 4th Ave S Suite 230, Kent, WA 98032 | 2018-11-27 |
| 1649747387 | Hannah Grace Rosborough | Counselor | 19435 68th Ave S Bldg S Ste 109, Kent, WA 98032 | 2018-10-31 |
| 1063948164 | Teasya Kusumo | Marriage & Family Therapist | 232 2nd Avenue S., Suite 201, Kent, WA 98032 | 2017-05-10 |
| 1902331648 | Heather Kunce | Marriage & Family Therapist | 232 Second Ave S, Ste 201, Kent, WA 98032 | 2017-05-01 |
| 1043761489 | Julia Kocian | Social Worker | 1601 W Meeker St., #201, Sea Mar Kent Behavioral Health, Kent, WA 98032 | 2016-10-20 |
| 1760938518 | Phoeun Sath | Community Health Worker | 24328 Pacific Hwy, Kent, WA 98032 | 2016-08-31 |
| 1891241568 | Live Well Alliance, LLC | Counselor | 1103 W. Meeker Street #102, Kent, WA 98032 | 2016-08-31 |
| 1760938070 | Seattle Cpap | Durable Medical Equipment & Medical Supplies | 25329 74th Ave S, Kent, WA 98032 | 2016-08-28 |
| 1750736401 | William Dale | Technician, Other | 6302 S 238th Pl, Apt U205, Kent, WA 98032 | 2016-05-02 |
| Find all providers in zip 98032 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366982761 | Estrellita Wagner- Villasenor | Specialist | 21413 111th Ct Se, Kent, WA 98031-2190 | 2017-03-03 |
| 1497125116 | Mariah Rock | Specialist | 12911 Southeast Kent Kangley Road, Kent, WA 98030 | 2015-10-07 |
| 1508251620 | Lori Michele Williams | Specialist | 524 W Meeker St Ste 4, Kent, WA 98032-5766 | 2015-04-06 |
| 1982012266 | Bed Bug Burners, LLC | Specialist | 330 Tallmadge Rd., Unit F2, Kent, OH 44240 | 2014-07-30 |
| 1922433515 | Ernest Fatta | Specialist | 23501 112th Ave Se, M102, Kent, WA 98031-3409 | 2013-09-13 |
| 1598018269 | Leslie Wiersum | Specialist | 12033 Se 256th Street, Kent, WA 98030 | 2012-10-18 |
| 1528318862 | Mary Margaret Altena | Specialist | 4014 S 270th St, Kent, WA 98032-7139 | 2012-09-13 |
| 1164797759 | Lisa Marie Shepard | Specialist | 21245 110th Ave Se, Kent, WA 98031-2145 | 2012-03-14 |
| 1629352752 | Brianna Dean | Specialist | 20430 95th Ave S, Kent, WA 98031-1464 | 2011-10-07 |
| 1043594658 | Karen Ann Little | Specialist | 28027 140th Lane Se, Kent, WA 98042 | 2011-09-30 |
| Find all providers in KENT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.