Individual
CHANNA V HANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 813-2000
Mailing address
4855 SW WESTERN AVE, BEAVERTON, OR 97005-3460
(503) 813-2000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA160017
OR
363A00000X
Physician Assistant
PA18364
CA
Other
Enumeration date
01/03/2007
Last updated
12/30/2021
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