Healthcare Provider Details

I. General information

NPI: 1144131723
Provider Name (Legal Business Name): YANG N/A ZHANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/14/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1617 W 12TH STREET N/A
PORT ANGELES WA
98363-5307
US

IV. Provider business mailing address

1617 W 12TH STREET N/A
PORT ANGELES WA
98363-5307
US

V. Phone/Fax

Practice location:
  • Phone: 360-460-3608
  • Fax:
Mailing address:
  • Phone: 360-460-3608
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberRN.RN.61574602
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: