Individual
LOGAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9601 STEILACOOM BLVD SW UNIT C-5, LAKEWOOD, WA 98498-7212
(253) 582-8900
Mailing address
9601 STEILACOOM BLVD SW UNIT C-5, LAKEWOOD, WA 98498-7212
(253) 582-8900
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LP61568782
WA
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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