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Individual

DR. DAVID JIN-WOO CHANG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664
(360) 882-2778
(360) 604-1771
Mailing address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
(360) 604-1771

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD00048065
WA
2085R0202X
Diagnostic Radiology Physician
2002014051
MO
2085R0202X
Diagnostic Radiology Physician
80245
OR
2085R0202X
Diagnostic Radiology Physician
MD00048065
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0391698
LNI-RADIA
WA
05
1022554
WA
05
1056120
WA
05
270199
OR
01
P00447671
RAILROAD MEDICARE
OR
Enumeration date
05/21/2007
Last updated
08/15/2018
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