Individual
MR. NATHANIEL LI YEN CHANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1959 NE PACIFIC ST, SEATTLE, WA 98195
(206) 520-5700
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60664724
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1538539135
—
WA
Enumeration date
09/25/2015
Last updated
07/10/2018
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