Provider Demographics
NPI:1578587200
Name:CHIANG, MICHAEL F (MD)
Entity Type:Individual
Prefix:
First Name:MICHAEL
Middle Name:F
Last Name:CHIANG
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Gender:M
Credentials:MD
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Mailing Address - Street 1:3375 SW TERWILLIGER BLVD
Mailing Address - Street 2:OREGON HEALTH & SCIENCE UNIVERSITY
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97239-4146
Mailing Address - Country:US
Mailing Address - Phone:503-494-3000
Mailing Address - Fax:503-494-4286
Practice Address - Street 1:3375 SW TERWILLIGER BLVD
Practice Address - Street 2:OREGON HEALTH & SCIENCE UNIVERSITY
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97239-4146
Practice Address - Country:US
Practice Address - Phone:503-494-7830
Practice Address - Fax:503-494-5748
Is Sole Proprietor?:No
Enumeration Date:2006-07-26
Last Update Date:2017-10-29
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Provider Licenses
StateLicense IDTaxonomies
ORMD153307207W00000X, 2083P0901X, 207WX0110X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0110XAllopathic & Osteopathic PhysiciansOphthalmologyPediatric Ophthalmology and Strabismus Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
No2083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02196069Medicaid
NY02196069Medicaid
H17022Medicare UPIN