Individual
EDWIN YAO-YUAN CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1400 E KINCAID ST, MOUNT VERNON, WA 98274-4127
(360) 428-2586
(360) 428-6470
Mailing address
1400 E KINCAID ST, ATTN: CREDENTIALING, MOUNT VERNON, WA 98274-4127
(360) 428-2500
(360) 428-6485
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
MD00049137
WA
2082S0099X
Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
MD00049137
WA
2082S0105X
Surgery of the Hand (Plastic Surgery) Physician
MD00049137
WA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
MD00049137
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0261838
LABOR & INDUSTRIES
WA
05
—
170090819
—
WA
01
—
P00840095
MEDICARE RAILROAD
—
Enumeration date
04/06/2007
Last updated
06/19/2013
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