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NPI Code Detail

MEDICARE: YI HSUAN YANG

MEDICARE: YI HSUAN YANG
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1104216118
Entity Type Code : Individual
Provider Name (Legal Business Name) : YI HSUAN YANG
Provider Business Mailing Address
First Line : 3430 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3372
Country : US
Telephone Number : 503-872-8822
Fax Number : 503-872-8825
Provider Business Practice Location Address
First Line : 3430 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97202-3372
Country : US
Telephone Number : 503-872-8822
Fax Number : 503-872-8825
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/28/2015
Last Update Date : 01/28/2015

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Directions to “ YI HSUAN YANG ” Practice Location

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