Individual
DR. KUO C CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
9735 SW SHADY LN, #102, TIGARD, OR 97223-5481
(503) 620-5614
(503) 598-4688
Mailing address
9735 SW SHADY LN, #102, TIGARD, OR 97223-5481
(503) 620-5614
(503) 598-4688
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
10546
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
243550
—
OR
Enumeration date
11/28/2005
Last updated
08/12/2008
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