Provider Demographics
NPI:1053556035
Name:CHANG, CHING-WEN ANGELA (MD)
Entity type:Individual
Prefix:DR
First Name:CHING-WEN
Middle Name:ANGELA
Last Name:CHANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3570 S RIVER PKWY
Mailing Address - Street 2:UNIT 1509
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4534
Mailing Address - Country:US
Mailing Address - Phone:917-608-1952
Mailing Address - Fax:
Practice Address - Street 1:3570 S RIVER PKWY
Practice Address - Street 2:UNIT 1509
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4534
Practice Address - Country:US
Practice Address - Phone:917-608-1952
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-04
Last Update Date:2022-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD284052085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology