ETHAN CHANG

NEWCASTLE, WA
NPI1578004131
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WA  OP61311708)
Enumeration Date2017-03-16
Last Update Date2023-09-15
Business Address
ETHAN CHANG DO
7203 129TH AVE SE STE 100
NEWCASTLE, WA 98056-1412
Phone number: 425-690-3455
Mailing Address
ETHAN CHANG DO
3600 LIND AVE SW SUITE 100 ATTN CREDENTIALING
RENTON, WA 98057-4970
Phone number: 425-690-2715