Dr. Wallace Han Jen Chang
Surgeon Plastic Hand Surgeon Plastic and Reconstructive Surgery
17930 Talbot Rd S
Renton
, Washington 98055-6230
Dr. Wallace Han Jen Chang
Surgeon Plastic Hand Surgeon Plastic and Reconstructive Surgery
17930 Talbot Rd S
Renton
, Washington 98055-6230
(206) 264-8100
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About
Features
Specialties
- Surgeon
- Plastic Hand Surgeon
- Plastic and Reconstructive Surgery
Languages spoken
- English
Location
First Address
- Dr. Wallace Han Jen Chang
- 805 Madison St Suite 901
- Seattle, WA
- Zip : 98104-1172
- Phone : (206) 264-8100
Second Address
- Dr. Wallace Han Jen Chang
- 17930 Talbot Rd S
- Renton, WA
- Zip : 98055-6230
- Fax : (425) 228-7972
- Phone : (425) 228-3187
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 208200000X | Surgeon | MD00019791 | WA |
| N | 208600000X | Surgeon | MD00019791 | WA |
| N | 2082S0105X | Plastic Hand Surgeon | MD00019791 | WA |
| Y | 2086S0122X | Plastic and Reconstructive Surgery | MD00019791 | WA |
National Provider Identifier
| NPI | 1023165768 |
|---|---|
| Provider Name | Dr. Wallace Han Jen Chang |
| First Address | Seattle, WA 98104-1172 |
| Second Address | Renton, WA 98055-6230 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 04/01/2007 |
| Last Update Date | 02/05/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 18213 | L&I (01) | |
| 1896307 | (05) | WA |
| A04236 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.