Active NPI
Peter H Chang, DO
- Pediatric Cardiology Physician
- Portland, OR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Cardiology Physician
- License
- DO26736
- Practice address
- 300 N Graham St Ste 250
Portland, OR 97227-1666 - Phone
- (503) 280-3418
- Fax
- (503) 284-7885
- NPI assigned
- Aug 30, 2006
- Last updated
- Sep 11, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | OP00002095 | WA | |
| Pediatric Cardiology Physician | 2080P0202X | DO26736 | OR | Primary |
Addresses
Primary practice location
300 N Graham St Ste 250
Portland, OR 97227-1666
Mailing address
PO Box 821350
Vancouver, WA 98682-0030
Phone (360) 687-5221
Other practice location 1
1615 Delaware St
Longview, WA 98632-2367
Phone (360) 414-2385
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 213128 | Medicaid | OR | |
| 1123090 | Other | WA | MEDICAID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- Nova Southeastern College of Osteo Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
300 N Graham St
Suite 250
Portland, OR 97227-1666
Phone (503) 280-3418
9701 SW Barnes Rd
Suite 299
Portland, OR 97225-6689
Phone (503) 280-3418
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Valley Healthcare, Inc. | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Salem Health West Valley | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Salem Health | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Peacehealth | Current | Accepting new patients | |
| Mid-Valley Healthcare Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services, Inc | Current | Accepting new patients | |
| Samaritan Pacific Health Services Inc | Current | Accepting new patients | |
| Samaritan North Lincoln Hospital | Current | Accepting new patients | |
| Albany General Hospital | Current | Accepting new patients | |
| Peacehealth Medical Group | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients | |
| Good Samaritan Hospital Corvallis | Current | Accepting new patients | |
| Peacehealth | Past | Accepting new patients |
Locations
705 Elm St SW
Ste 200
Albany, OR 97321
Phone (541) 812-4850
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3600 NW Samaritan Dr
Ste 227
Corvallis, OR 97330
Phone (541) 768-1261
525 SE Washington St
Dallas, OR 97338
Phone (503) 623-7344
4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300
1601 Monmouth St
Ste 100
Independence, OR 97351
Phone (503) 623-8301
325 Park St
Lebanon, OR 97355
Phone (541) 451-7200
3043 NE 28th St
Lincoln City, OR 97367
Phone (541) 994-3661
930 SW Abbey St
Newport, OR 97365
Phone (541) 265-2244
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
665 Winter St SE
Salem, OR 97301
Phone (503) 370-5634
3377 Riverbend Dr
Ste 410
Springfield, OR 97477
1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GIEBDD/Endpoint/GIEBDD
- peter.chang@pcco.eclinicaldirectplus.com
Organizations & group practices 26
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Childrens Cardiac Center of Oregon
- Pediatric Cardiology Physician
- Portland, OR
- NPI 1144287541
-
dba Samaritan Albany General Hospital
- General Acute Care Hospital
- Albany, OR
- NPI 1154372340
-
dba Good Samaritan Regional Medical Center
- General Acute Care Hospital
- Corvallis, OR
- NPI 1962453134
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
-
dba Samaritan Lebanon Community Hospital
- Critical Access Hospital
- Lebanon, OR
- NPI 1689625980
-
- Family Medicine Physician
- Eugene, OR
- NPI 1447207287
-
- General Acute Care Hospital
- Salem, OR
- NPI 1265431829
-
- Critical Access Hospital
- Dallas, OR
- NPI 1245237486
-
- Critical Access Hospital
- Lincoln City, OR
- NPI 1306897491
-
dba Samaritan Pacific Communities Hospital
- Critical Access Hospital
- Newport, OR
- NPI 1801847066
-
dba Samaritan Medical Group Occupational Medicine - Newport
- Physical Medicine & Rehabilitation Physician
- Newport, OR
- NPI 1174888010
-
dba St. John Medical Center - PeaceHealth Medical Group
- Multi-Specialty Clinic/Center
- Longview, WA
- NPI 1720056187
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726012800000",
"number": "1003926189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 821350",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986820030",
"telephone_number": "360-687-5221",
"fax_number": "360-666-0466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 N GRAHAM ST STE 250",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972271666",
"telephone_number": "503-280-3418",
"fax_number": "503-284-7885"
}
],
"practiceLocations": [
{
"address_1": "1615 Delaware St",
"address_purpose": "LOCATION",
"city": "Longview",
"state": "WA",
"postal_code": "986322367",
"country_code": "US",
"telephone_number": "360-414-2385",
"fax_number": "360-414-2386",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CHANG",
"first_name": "PETER",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2024-09-11",
"certification_date": "2024-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "WA",
"license": "OP00002095",
"primary": false
},
{
"code": "2080P0202X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Cardiology",
"state": "OR",
"license": "DO26736",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "213128",
"state": "OR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID",
"identifier": "1123090",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.