DR. WALLACE HAN JEN CHANG M.D.
NPI 1023165768
Surgery - Plastic and Reconstructive Surgery in Renton, WA

Active since January 04, 2007
17930 TALBOT RD S, RENTON, WA 98055(425) 228-3187(425) 228-7972 Get Directions Write a Review

NPPES record last updated: May 2, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Wallace Han Jen Chang M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. WALLACE HAN JEN CHANG M.D. (NPI 1023165768) is an individual plastic and reconstructive surgery provider in Renton, Washington, licensed in Washington (MD00019791) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1023165768
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDR. WALLACE HAN JEN CHANGCredential: M.D.
Location Address17930 TALBOT RD SRenton, WA 98055-6230
Mailing Address805 Madison St, Suite 901Seattle, WA 98104-1172 · (206) 264-8100
Fax(425) 228-7972
Sole ProprietorNo
Enumeration DateJanuary 4, 2007
Last NPPES UpdateMay 2, 2016
NPI 1023165768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License Licensed in WA · MD00019791
Definition
A surgeon who specializes in plastic and reconstructive surgery.
Also ListedPlastic SurgeryTaxonomy 208200000X · License MD00019791 (WA)
Also ListedPlastic Surgery · Surgery of the HandTaxonomy 2082S0105X · License MD00019791 (WA)
17930 TALBOT RD S, Renton, WA 98055

Other Identifiers 3

Medicaid1896307WA
Other18213L&i
Medicare UPINA04236

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
17930 TALBOT RD S
RENTON, WA 98055
Nurse Practitioner
17930 TALBOT RD S
RENTON, WA 98055
Plastic Surgery
17930 TALBOT RD S
RENTON, WA 98055
Clinic/Center (Ambulatory Surgical)
17930 TALBOT RD S
RENTON, WA 98055
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
Surgery (Plastic and Reconstructive Surgery)
17930 TALBOT RD S
RENTON, WA 98055
Plastic Surgery
17930 TALBOT RD S
RENTON, WA 98055

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Wallace Chang's NPI number?

The NPI number for Wallace Chang is 1023165768. It was assigned to this individual provider in the NPPES registry on January 4, 2007.

Where is Wallace Chang located?

Wallace Chang practices at 17930 Talbot Rd S, Renton, WA 98055. The listed phone number is (425) 228-3187.

What is Wallace Chang's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

When was this NPI record last updated?

The NPPES record for Wallace Chang was last updated on May 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.