# JUSTINE CHANG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1528259090
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | MD60275720 | WA | — |
| 207VM0101X | Maternal & Fetal Medicine Physician | MD60275720 | WA | Yes |

## Other

- **Enumeration date:** 08/08/2007
- **Last updated:** 12/15/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0296277 | L&I | WA |
| 05 | — | 1528259090 | — | WA |