Individual
SIV C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
R.PH.
Contact information
Practice address
590 NE CIRCLE BLVD, CORVALLIS, OR 97330-6828
(541) 753-2970
(541) 752-3510
Mailing address
590 NE CIRCLE BLVD, CORVALLIS, OR 97330-6828
(541) 753-2970
(541) 752-3510
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
8558
OR
1835P0018X
Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
8558
OR
Other
Enumeration date
10/25/2010
Last updated
12/22/2015
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