Yang, Amy C

Yang, Amy C is an individual health care provider with primary practice located at 707 Sw Gaines St , Portland OR 97239-2901. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is her primary health care specialty. Yang, Amy C can be contacted via phone (503) 494-7859.

Contact Information

Primary practice address
707 Sw Gaines St Portland OR 97239-2901
Phone: (503) 494-7859
Fax: (503) 494-4447
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X 246735 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 246735 New York
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD185690 Oregon
Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) 207SG0201X MD185690 Oregon

Profile Details

NPI number 1902012180
LBN Legal business name Yang, Amy C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 15th, 2007
Last updated Mar 28th, 2018 - about 6 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 1902012180 NPPES
New York MEDICAID 03375606

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