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1982961405

NPI Code Detail

MEDICARE: WENLAN ZHANG MD

MEDICARE: WENLAN ZHANG 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	207W00000X	Ophthalmology Physician	MD192040	OR
2	207W00000X	Ophthalmology Physician	MD60927844	WA
3	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD60927844	WA
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207WX0107X	Retina Specialist (Ophthalmology) Physician	MD192040	OR

General Provider Information

NPI Number	:	1982961405
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENLAN ZHANG MD

Provider Business Mailing Address
First Line	:	4225 NE ST JAMES RD
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98663-2148
Country	:	US
Telephone Number	:	503-274-2121
Fax Number	:	866-843-7990

Provider Business Practice Location Address
First Line	:	5440 SW WESTGATE DR STE 217
Second Line	:
City	:	PORTLAND
State	:	OR
Zip	:	97221-2421
Country	:	US
Telephone Number	:	503-274-2121
Fax Number	:	866-843-7990

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

Provider Enumeration Date	:	04/20/2012
Last Update Date	:	10/01/2024

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Directions to “ WENLAN ZHANG MD” Practice Location

Language	Start Address	Practice Location

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