CHONG C CHANG M.D. NPI 1639201635

NPI Information

NPI: 1639201635
Provider Name: CHONG C CHANG, M.D.
Classification: Obstetrics & Gynecology - 207VG0400X
Entity Type: Individual

Specialization: Gynecology

Address:
19875 SW 65TH AVE
SUITE 260
TUALATIN, OR
ZIP 97062
Phone: (503) 691-1743
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Chong C Chang, M.D. is a gynecology obstetrics gynecology in Tualatin, OR. The provider is a physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee Chong C Chang, M.D. NPI is 1639201635. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

19875 SW 65TH AVE
SUITE 260
TUALATIN, OR
ZIP 97062-353
Phone: (503) 691-1743
Fax: (503) 691-0983

The enumeration date for this NPI number is 3/12/2007 and was last updated on 3/4/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	174400000X	Specialist		MD13588	OREGON	No
2	207VG0400X	Obstetrics & Gynecology	Gynecology	MD13588	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	R108315	MEDICARE PIN	OREGON
2	C91609	MEDICARE UPIN	OREGON
3	104752	MEDICAID	OREGON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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