Healthcare Provider Details

I. General information

NPI: 1023037306
Provider Name (Legal Business Name): DONALD K YANG MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/18/2006
Last Update Date: 12/09/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3355 RIVERBEND DR SUITE 500
SPRINGFIELD OR
97477-8800
US

IV. Provider business mailing address

3355 RIVERBEND DR SUITE 500
SPRINGFIELD OR
97477-8800
US

V. Phone/Fax

Practice location:
  • Phone: 541-868-9500
  • Fax: 541-685-5920
Mailing address:
  • Phone: 541-868-9500
  • Fax: 541-685-5920

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD24898
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: