Individual
GINA CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
19365 SW 65TH AVE STE 206, TUALATIN, OR 97062-9196
(503) 691-7788
Mailing address
PO BOX 1543, TUALATIN, OR 97062-1543
(503) 691-7788
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC00727
OR
174400000X
Specialist
—
—
225700000X
Massage Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC00727
OREGON MEDICAL BOARD
OR
Enumeration date
05/20/2008
Last updated
05/02/2023
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