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Individual
LOGAN CHANG
Active
Individual
LOGAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.RN.70141821
WA
164W00000X
Licensed Practical Nurse
LP61568782
WA
Other
Enumeration date
07/17/2025
Last updated
08/10/2026
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