Shang, Yanan

Shang, Yanan is an individual health care provider with primary practice located at 3303 S Bond Ave , Portland OR 97239-4501. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurology, Allopathic & Osteopathic Physicians / Clinical Neurophysiology. Allopathic & Osteopathic Physicians / Neurology is her primary health care specialty. Shang, Yanan can be contacted via phone (503) 494-7772.

Contact Information

Primary practice address
3303 S Bond Ave Portland OR 97239-4501
Fax: (503) 418-3283
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD60226728 Washington
Allopathic & Osteopathic Physicians / Clinical Neurophysiology 2084N0600X MD60226728 Washington
Allopathic & Osteopathic Physicians / Neurology 2084N0400X MD179667 Oregon

Profile Details

NPI number 1174674006
LBN Legal business name Shang, Yanan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Jan 11th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174674006 NPPES
Washington MEDICAID 2014507
Washington MEDICAID 500639215

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