Chang, Renee Mclean

Chang, Renee Mclean is an individual health care provider with primary practice located at 1414 Nw Northrup St Ste 600 , Portland OR 97209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Chang, Renee Mclean can be contacted via phone (503) 223-3104.

Contact Information

Primary practice address
1414 Nw Northrup St Ste 600 Portland OR 97209
Fax: (503) 223-4619
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X MD27399 Oregon

Profile Details

NPI number 1942344973
LBN Legal business name Chang, Renee Mclean
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2007
Last updated Nov 21st, 2023 - about last year

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 1942344973 NPPES
Oregon MEDICAID 272334

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