Individual
JENG YUE CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10212 5TH AVE NE #100, SEATTLE, WA 98125-7471
(206) 362-2127
(206) 364-9655
Mailing address
10212 5TH AVE NE #100, SEATTLE, WA 98125-7471
(206) 362-2127
(206) 364-9655
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MD00027322
WA
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
MD00027322
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1064559
—
WA
01
—
56722
LABOR & INDUSTRIES
WA
01
—
CH4229
REGENCE BLUESHIELD
—
Enumeration date
01/13/2006
Last updated
08/07/2007
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