Most Relevant Information
Provider Data
| NPI Number: | 1003469362 |
| Provider Name: | JOHN BYUNGWOOK CHANG PHARMD |
| Entity Type: | Individual |
| Taxonomy Code: | 183500000X |
| Specialty: | Pharmacist |
| License Number: | RPH-0010463 |
Most Important Dates
| Enumeration Date: | 07/16/2019 |
| Last Updated: | 07/16/2019 |
Provider Practice Location
3181 SW SAM JACKSON PARK RD
PORTLAND
OR
972393011
Practice Location Phone/Fax
| Phone: | 5034949599 |
| Fax: |
Provider Mailing Location
15353 NW MARIE WAY
PORTLAND
OR
972296967
Provider Mailing Phone/Fax
| Phone: | 5036792178 |
| Fax: |