CHRISTIAN JUNGMOON TAE

CORVALLIS, OR
NPI1619767068
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: OR  PI-0014492)
Enumeration Date2025-05-08
Last Update Date2025-05-08
Business Address
CHRISTIAN JUNGMOON TAE
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331-8656
Phone number: 541-737-3424
Mailing Address
CHRISTIAN JUNGMOON TAE
1601 SW JEFFERSON AVE
CORVALLIS, OR 97331-8656
Phone number: 541-737-3424