MEDICARE: NORMAN F CHANG MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00030393	WA

General Provider Information

NPI Number	:	1902810443
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NORMAN F CHANG MD

Provider Business Mailing Address
First Line	:	PO BOX 3809
Second Line	:
City	:	BLAINE
State	:	WA
Zip	:	98231-3809
Country	:	US
Telephone Number	:	425-956-3503
Fax Number	:

Provider Business Practice Location Address
First Line	:	4280 MERIDIAN ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98226-6464
Country	:	US
Telephone Number	:	425-956-3503
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/28/2006
Last Update Date	:	03/09/2011

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