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Individual

YA-CHI CLAIRE CHANG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1229 1890 WAITE ST #1, NORTH BEND, OR 97459
(713) 454-2261
Mailing address
1229 1890 WAITE ST #1, NORTH BEND, OR 97459
(713) 454-2261

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
F07201251
OR
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
202008079NP-PP
OR

Other

Enumeration date
01/15/2020
Last updated
12/09/2024
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