Individual
MARY CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Mailing address
125 16TH AVE E, SEATTLE, WA 98112-5211
(206) 326-3000
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
0104555718
VA
363A00000X
Physician Assistant
Primary
PA60688813
WA
Other
Enumeration date
09/21/2006
Last updated
10/07/2016
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