Chang, Peter H

Chang, Peter H is an individual health care provider with primary practice located at 300 N Graham St Ste 250 , Portland OR 97227-1666. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Chang, Peter H can be contacted via phone (503) 280-3418.

Contact Information

Primary practice address
300 N Graham St Ste 250 Portland OR 97227-1666
Phone: (503) 280-3418
Fax: (503) 284-7885
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X OP00002095 Washington
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X DO26736 Oregon

Profile Details

NPI number 1003926189
LBN Legal business name Chang, Peter H
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jul 18th, 2022 - about 3 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 1003926189 NPPES
Washington Other 1123090 MEDICAID
Washington MEDICAID 213128 MEDICAID

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