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NPI Code Detail

MEDICARE: DR. PEI WEN CHIANG PHD, FACMG

MEDICARE:  DR. PEI WEN  CHIANG  PHD, FACMG
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
1246ZG1000XMedical Geneticist (PhD) Specialist/Technologist2009022

General Provider Information

NPI Number : 1205387321
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. PEI WEN CHIANG PHD, FACMG
Provider Business Mailing Address
First Line : 5690 BAY CREEK DR
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-6762
Country : US
Telephone Number : 503-858-2674
Fax Number :
Provider Business Practice Location Address
First Line : 5690 BAY CREEK DR
Second Line :
City : LAKE OSWEGO
State : OR
Zip : 97035-6762
Country : US
Telephone Number : 503-858-2674
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2016
Last Update Date : 04/19/2025

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Directions to “ DR. PEI WEN CHIANG PHD, FACMG” Practice Location

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