Individual
ERIC CHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
4400 37TH AVE S, SEATTLE, WA 98118-1609
(206) 461-6981
Mailing address
1200 12TH AVE S, SUITE 901, SEATTLE, WA 98144-2712
(206) 548-3114
(206) 762-6355
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA60518838
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922499870
—
WA
Enumeration date
02/13/2015
Last updated
03/20/2015
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