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
Fax: (360) 604-1771
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
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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