Chang, Gina

Chang, Gina is an individual health care provider with primary practice located at 19365 Sw 65Th Ave Ste 206 , Tualatin OR 97062-9196. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Acupuncturist. Other Service Providers / Acupuncturist is her primary health care specialty. Chang, Gina can be contacted via phone (503) 691-7788.

Contact Information

Primary practice address
19365 Sw 65Th Ave Ste 206 Tualatin OR 97062-9196
Phone: (503) 691-7788
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X
Other Service Providers / Acupuncturist 171100000X AC00727 Oregon

Profile Details

NPI number 1720245418
LBN Legal business name Chang, Gina
Credentials Licensed Acupuncturist (LAC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 20th, 2008
Last updated May 2nd, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1720245418 NPPES
Oregon Other AC00727 OREGON MEDICAL BOARD

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