Chong C Chang, M.D.
Obstetrics & Gynecology, Gynecology in Tualatin, OR. Individual provider (NPI-1).
NPI number1639201635
StatusActive
Last updated in NPPESMar 4, 2008
Details
- NPI
- 1639201635
- Entity type
- Individual (NPI-1)
- Name
- Chong C Chang
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Mar 12, 2007
- Last updated
- Mar 4, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207VG0400X | Obstetrics & Gynecology, Gynecology | MD13588 | OR | Yes |
| 174400000X | Specialist | MD13588 | OR |
Practice location
19875 Sw 65th AveSuite 260
Tualatin, OR 97062-8353
Phone 503-691-1743 · Fax 503-691-0983
Mailing address
19875 Sw 65th AveSuite 260
Tualatin, OR 97062-8353
Phone 503-691-1743 · Fax 503-691-0983
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