CHANNA V HANG (PA) – Physician Assistant, NPI 1013074517

CHANNA V HANG (PA) is a healthcare provider. based in Woodburn, Oregon. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA18364 (CA). The NPI Number for CHANNA V HANG (PA) is 1013074517

Main info

Female
21 Years Of Experience
Accepts Medicare Assignment
Name
CHANNA V HANG (PA)
NPI
1013074517
Phone
Not provided
Address
1175 MOUNT HOOD AVE
Enumeration Date
3 January 2007
Last Update Date
30 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8008132000
Graduation Year
2005 (21 years ago)
PAC ID
3274622931
Group Practice PAC ID
5799688230
Professional Enrollment ID
I20130513000341
Address ID
OR970158970CL10180RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience71
Completeness75
Years active:19State licenses:2Digital endpointsOther names

2,876 PHYSICIAN ASSISTANT in OR

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Provider Addresses for CHANNA V HANG (PA)

  • 1175, Mount Hood Avenue, Woodburn, Marion County, Oregon, 97071, United States

    WOODBURN, OR 970719060

    Phone:

    Type: Mailing

  • 4855 SW WESTERN AVE

    BEAVERTON, OR 970053460

    Phone: (503) 813-2000

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-02-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130513000341IPhysician AssistantORTBD
I20200225001282IPhysician AssistantWATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97071)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5799688230View full group profile
NameSpecialtyState
U R O L O G YTX
Emergency MedicineOR
D E R M A T O L O G YAZ
Nurse PractitionerOR
Diagnostic RadiologyOR
D E R M A T O L O G YWA
-OR
-CA
General SurgeryCA
-OR

Reviews

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Frequently asked questions

What NPI should I save for CHANNA V HANG (PA)?
Save NPI 1013074517 if you need a stable reference for CHANNA V HANG (PA).
Is CHANNA V HANG (PA)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does CHANNA V HANG (PA) treat or focus on?
Patients typically see CHANNA V HANG (PA) under the specialty Physician Assistant. Clinical services aligned with this taxonomy classification.
Does CHANNA V HANG (PA) practice in Oregon?
You will see Woodburn, Oregon on file for CHANNA V HANG (PA) alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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