Individual
JOHN PANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
328030
LA
207Y00000X
Otolaryngology Physician
Primary
MD223216
OR
207Y00000X
Otolaryngology Physician
MD61029034
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518237569
—
WA
05
—
500863634
—
OR
01
—
R276738
PTAN
OR
Enumeration date
01/09/2012
Last updated
01/25/2026
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