Chang, David Jin-Woo
Chang, David Jin-Woo is an individual health care provider with primary practice located at 700 Ne 87Th Ave , Vancouver WA 98664. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Chang, David Jin-Woo can be contacted via phone (360) 882-2778.Contact Information
Primary practice address
700 Ne 87Th Ave
Vancouver WA 98664
Phone: (360) 882-2778
Fax: (360) 604-1771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | MD00048065 | Washington |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 2002014051 | Missouri |
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 80245 | Oregon |
| Allopathic & Osteopathic Physicians / Neuroradiology | 2085N0700X | MD00048065 | Washington |
Profile Details
| NPI number | 1861601791 |
|---|---|
| LBN Legal business name | Chang, David Jin-Woo |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 21st, 2007 |
| Last updated | Aug 15th, 2018 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1861601791 | NPPES |
| Washington | Other | 0391698 | LNI-RADIA |
| Washington | MEDICAID | 270199 | LNI-RADIA |
| Washington | MEDICAID | 1056120 | LNI-RADIA |
| Washington | MEDICAID | 1022554 | LNI-RADIA |
| Washington | Other | P00447671 | LNI-RADIA |
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