Individual
OLIVER CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1959 NE PACIFIC ST, BOX 356100, SEATTLE, WA 98195-6100
(206) 598-6400
(206) 598-3803
Mailing address
PO BOX 50095, SEATTLE, WA 98145-5095
(206) 543-6420
Taxonomy
Speciality
Code
Description
License number
State
207ZD0900X
Dermatopathology (Pathology) Physician
Primary
MD60400506
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1740504554
—
WA
01
—
8947445
MEDICARE PIN
WA
Enumeration date
03/23/2010
Last updated
07/21/2022
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