MEDICARE: MS. MOON-YUN CHANG L.AC, L.M.P.

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	171100000X	Acupuncturist	AC202884	OR

General Provider Information

NPI Number	:	1831494772
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MOON-YUN CHANG L.AC, L.M.P.

Provider Business Mailing Address
First Line	:	5771 SE TOLMAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-6734
Country	:	US
Telephone Number	:	206-930-1168
Fax Number	:

Provider Business Practice Location Address
First Line	:	5771 SE TOLMAN ST
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97206-6734
Country	:	US
Telephone Number	:	206-930-1168
Fax Number	:

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

Provider Enumeration Date	:	01/25/2011
Last Update Date	:	05/26/2026

Similar Medicare Providers

1174111561 — LIGHT MIND WELLNESS
Practice Location Address:

6734 SE RAYMOND ST
PORTLAND, OR
97206-4520

Practice Phone: 503-926-9567
Practice Fax:

1750274718 — NATHAN ROSE
Practice Location Address:

17710 NE HALSEY ST
PORTLAND, OR
97230-6734

Practice Phone: 503-305-6296
Practice Fax: 503-387-5279

1902864952 — GEORGE FUSSELL
Practice Location Address:

17720 NE HALSEY ST
PORTLAND, OR
97230-6734

Practice Phone: 503-654-7654
Practice Fax: 503-654-7333

1760577738 — GINGER BANDEEN
Practice Location Address:

17720 NE HALSEY ST
PORTLAND, OR
97230-6734

Practice Phone: 503-654-7654
Practice Fax: 503-654-7333

1619015617 — LANORMA BURRELL
Practice Location Address:

17710 NE HALSEY ST
PORTLAND, OR
97230-6734

Practice Phone: 503-328-8311
Practice Fax: 503-328-8499

1407971005 — MAUREEN STEWART-MOONEY
Practice Location Address:

17720 NE HALSEY ST
PORTLAND, OR
97230-6734

Practice Phone: 503-654-7654
Practice Fax: 503-654-7333

Directions to “ MS. MOON-YUN CHANG L.AC, L.M.P.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.