Provider Demographics
NPI:1316682966
Name:CHUANG, MEG YA-JU (ND, LAC)
Entity type:Individual
Prefix:DR
First Name:MEG
Middle Name:YA-JU
Last Name:CHUANG
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2623 SE 109TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97266-1216
Mailing Address - Country:US
Mailing Address - Phone:503-702-4674
Mailing Address - Fax:
Practice Address - Street 1:2623 SE 109TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97266-1216
Practice Address - Country:US
Practice Address - Phone:503-702-4674
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-28
Last Update Date:2025-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR4450172P00000X
ORAC196209171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172P00000XOther Service ProvidersNaprapath
No171100000XOther Service ProvidersAcupuncturist