Provider Demographics
NPI:1386694982
Name:BYEON, JAI JUN (MD)
Entity type:Individual
Prefix:DR
First Name:JAI JUN
Middle Name:
Last Name:BYEON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:JAI JUN
Other - Middle Name:
Other - Last Name:BYEON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 34703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98124-1703
Mailing Address - Country:US
Mailing Address - Phone:253-681-6626
Mailing Address - Fax:
Practice Address - Street 1:31405 18TH AVE S
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5433
Practice Address - Country:US
Practice Address - Phone:253-681-6600
Practice Address - Fax:253-681-6645
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00044106207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8453284Medicaid
P00393772OtherRAILROAD MEDICARE
8860692Medicare PIN
P00393772OtherRAILROAD MEDICARE