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Individual

INGRID TINA CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000
Mailing address
310 15TH AVE E, SEATTLE, WA 98112-5103
(206) 326-3000

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
A143072
WA
207W00000X
Ophthalmology Physician
ML60293421
WA

Other

Enumeration date
04/30/2012
Last updated
03/31/2021
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