MEDICARE: YAN GE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225700000X	Massage Therapist	MA61118575	WA

General Provider Information

NPI Number	:	1780364620
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YAN GE

Provider Business Mailing Address
First Line	:	14125 NE 7TH CT
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98685-1981
Country	:	US
Telephone Number	:	360-207-0199
Fax Number	:	360-583-3500

Provider Business Practice Location Address
First Line	:	8221 NE HAZEL DELL AVE STE 103A
Second Line	:
City	:	VANCOUVER
State	:	WA
Zip	:	98665-8153
Country	:	US
Telephone Number	:	360-553-1068
Fax Number	:	360-583-3500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/24/2023
Last Update Date	:	06/14/2026

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Directions to “ YAN GE ” Practice Location

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