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
Phone: (503) 494-7772
Fax: (503) 418-3283
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1174674006 | NPPES |
Washington | MEDICAID | 2014507 | |
Washington | MEDICAID | 500639215 |
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