Individual
DR. JONATHAN L CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
Mailing address
401 15TH AVE SE, PUYALLUP, WA 98372-3715
(253) 697-4000
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
PENDING
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/25/2018
Last updated
06/14/2021
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