Chang, Chong C

Chang, Chong C is an sole proprietor health care provider with primary practice located at 19875 Sw 65Th Ave Suite 260, Tualatin OR 97062-8353. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Gynecology. Allopathic & Osteopathic Physicians / Gynecology is his primary health care specialty. Chang, Chong C can be contacted via phone (503) 691-1743.

Contact Information

Primary practice address
19875 Sw 65Th Ave Suite 260 Tualatin OR 97062-8353
Phone: (503) 691-1743
Fax: (503) 691-0983
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD13588 Oregon
Allopathic & Osteopathic Physicians / Gynecology 207VG0400X MD13588 Oregon

Profile Details

NPI number 1639201635
LBN Legal business name Chang, Chong C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Mar 4th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639201635 NPPES
Oregon MEDICAID 104752

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