CAROLYN CHA YING CHANG MD
NPI 1881273225
Student in an Organized Health Care Education/Training Program in Portland, OR

Q: What is Carolyn Chang's NPI number?

The NPI number for Carolyn Chang is 1881273225. It was assigned to this individual provider in the NPPES registry on April 5, 2021.

Q: What is Carolyn Chang's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Carolyn Chang was last updated on April 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since April 05, 2021PECOS Enrolled

3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239(971) 673-2700 Get Directions Write a Review

NPPES record last updated: April 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Carolyn Cha Ying Chang Md NPPES

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

CAROLYN CHA YING CHANG MD (NPI 1881273225) is an individual student in an organized health care education/training program in Portland, Oregon and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1881273225

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameCAROLYN CHA YING CHANGCredential: MD

Location Address3181 SW SAM JACKSON PARK RD # L-579Portland, OR 97239-3098

Mailing Address3181 Sw Sam Jackson Park Rd # L-579Portland, OR 97239-3098 · (971) 673-2700

Phone(971) 673-2700

Sole ProprietorNo

Enumeration DateApril 5, 2021

NPPES CertifiedApril 5, 2021

✔ NPI 1881273225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

3181 SW SAM JACKSON PARK RD # L-579, Portland, OR 97239

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carolyn Cha Ying Chang Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

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

DR. CLAIRE MCCORD CONRAD MD

Pediatrics