NPI 1578004131

Ethan Chang, DO

Practitioner Family Medicine Physician Newcastle, WA

Practice location

Address: 7203 129th Ave SE STE 100, Newcastle, WA 98056-1412
Phone: (425) 690-3455
Fax: (425) 690-9455
Mailing address: 3600 Lind Ave SW Suite 100 Attn Credentialing, Renton, WA 98057-4970

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence OP61311708 (WA)

Other Family Medicine providers in Washington →

Registry record

NPI: 1578004131
Entity type: Individual
Sex (as registered): Male
NPI issued: 16 Mar 2017
Record last updated: 15 Sep 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.