Provider Demographics
NPI:1801956230
Name:CHIANG, LYDIA K (MD, FAAP)
Entity type:Individual
Prefix:DR
First Name:LYDIA
Middle Name:K
Last Name:CHIANG
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Gender:F
Credentials:MD, FAAP
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Mailing Address - Street 1:15220 NW LAIDLAW RD., STE 100
Mailing Address - Street 2:DOERNBECHER PEDIATRICS - WESTSIDE
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97229
Mailing Address - Country:US
Mailing Address - Phone:503-418-2000
Mailing Address - Fax:503-418-2400
Practice Address - Street 1:15220 NW LAIDLAW RD., STE 100
Practice Address - Street 2:DOERNBECHER PEDIATRICS - WESTSIDE
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97229
Practice Address - Country:US
Practice Address - Phone:503-418-2000
Practice Address - Fax:503-418-2400
Is Sole Proprietor?:No
Enumeration Date:2006-12-08
Last Update Date:2011-08-09
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Provider Licenses
StateLicense IDTaxonomies
ORMD154052208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics