Individual
CHARLENE CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
U
Credential
PA-C
Contact information
Practice address
325 9TH AVE, SEATTLE, WA 98104-2420
(206) 520-5000
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
PA61541888
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2301267
—
WA
01
—
497750
WA L&I
WA
Enumeration date
09/05/2024
Last updated
05/06/2026
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