Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207N00000X | Dermatologist | A97906 | CA |
Y | 207ND0101X | MOHS-Micrographic Surgeon | MD60077649 | WA |
NPI | 1427181536 |
---|---|
Provider Name | Linda C Chang |
First Address | Seattle, WA 98105-6099 |
Second Address | Seattle, WA 98105-6099 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 28/01/2022 |