Chang, Kuo C
Chang, Kuo C is an individual health care provider with primary practice located at 9735 Sw Shady Ln #102, Tigard OR 97223-5481. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Chang, Kuo C can be contacted via phone (503) 620-5614.Contact Information
Primary practice address
9735 Sw Shady Ln #102
Tigard OR 97223-5481
Phone: (503) 620-5614
Fax: (503) 598-4688
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 10546 | Oregon |
Profile Details
| NPI number | 1518940162 |
|---|---|
| LBN Legal business name | Chang, Kuo C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 28th, 2005 |
| Last updated | Aug 12th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1518940162 | NPPES |
| Oregon | MEDICAID | 243550 |
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