Individual
LOGAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9108 LAKEWOOD DR SW, LAKEWOOD, WA 98499-3949
(253) 581-6202
Mailing address
9108 LAKEWOOD DR SW, LAKEWOOD, WA 98499-3949
(253) 581-6202
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.RN.70141821
WA
164W00000X
Licensed Practical Nurse
LP61568782
WA
Other
Enumeration date
07/17/2025
Last updated
08/10/2026
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