Individual
DR. CHANG B. SHIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4300 TALBOT RD S, SUITE 303, RENTON, WA 98055-6238
(425) 228-7446
(425) 277-4746
Mailing address
4300 TALBOT RD S, SUITE 303, RENTON, WA 98055-6238
(425) 228-7446
(425) 277-4746
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD00018197
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
129032
L&I PROVIDER NUMBER
WA
Enumeration date
03/26/2007
Last updated
07/08/2007
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