Individual
NICHOLAS CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
19200 SW MARTINAZZI AVE, TUALATIN, OR 97062-6357
(503) 691-4233
Mailing address
1129 SW WASHINGTON STREET, APT. 412, PORTLAND, OR 97205
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
0013312
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
Primary
13312
OR
Other
Enumeration date
10/11/2012
Last updated
03/17/2018
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