MEDICARE: DR. JANET CHANG D.O.

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	DO156843	OR

General Provider Information

NPI Number	:	1073593422
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JANET CHANG D.O.

Provider Business Mailing Address
First Line	:	PO BOX 1189
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97339-1189
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5234 SW PHILOMATH BLVD
Second Line	:
City	:	CORVALLIS
State	:	OR
Zip	:	97333-1042
Country	:	US
Telephone Number	:	541-768-4970
Fax Number	:

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

Provider Enumeration Date	:	01/20/2006
Last Update Date	:	11/06/2020

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Directions to “ DR. JANET CHANG D.O.” Practice Location

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