Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Christian Jungmoon Tae

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1619767068

Christian Jungmoon Tae is a Student in an Organized Health Care Education/Training Program in Corvallis, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2025
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Practice location Address checks out

Student / training record This NPI belongs to someone enrolled in a health care training programme. It carries no licence and no practice of its own, so no address or phone number is published for it.

Corvallis, OR

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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X · Licence PI-0014492 (OR)

Record details

NPI number1619767068
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMay 8, 2025
Last updated in NPPESMay 8, 2025
Certification dateMay 8, 2025

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