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Individual

DR. AIMEE S CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
9370 SW GREENBURG RD, SUITE 412, PORTLAND, OR 97223-5442
(503) 292-7734
(503) 292-7735
Mailing address
9370 SW GREENBURG RD, SUITE 412, PORTLAND, OR 97223-5442
(503) 292-7734
(503) 292-7735

Taxonomy

Speciality
Code
Description
License number
State
207VE0102X
Reproductive Endocrinology Physician
2002005827
MO
207VE0102X
Reproductive Endocrinology Physician
Primary
MD27368
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
157258
MO-BLUE SHIELD
Enumeration date
07/17/2006
Last updated
06/18/2009
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