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NPI Code Detail

MEDICARE: DR. ANDREW CHANG DO

MEDICARE: DR. ANDREW CHANG DO
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
1207Q00000XFamily Medicine PhysicianDO207327OR

General Provider Information

NPI Number : 1518451970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREW CHANG DO
Provider Business Mailing Address
First Line : PO BOX 86700
Second Line :
City : PORTLAND
State : OR
Zip : 97286-0700
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 415 N KILLINGSWORTH ST STE 103
Second Line :
City : PORTLAND
State : OR
Zip : 97217-2440
Country : US
Telephone Number : 971-299-7548
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2018
Last Update Date : 03/03/2025

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Directions to “ DR. ANDREW CHANG DO” Practice Location

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