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NPI Code Detail

MEDICARE: DR. KING CHUNG YAM MD

MEDICARE: DR. KING CHUNG YAM MD
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
1207Q00000XFamily Medicine PhysicianMD162425OR

General Provider Information

NPI Number : 1811208721
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KING CHUNG YAM MD
Provider Business Mailing Address
First Line : 8935 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1938
Country : US
Telephone Number : 503-772-4335
Fax Number : 503-772-4337
Provider Business Practice Location Address
First Line : 8935 SE POWELL BLVD
Second Line :
City : PORTLAND
State : OR
Zip : 97266-1938
Country : US
Telephone Number : 503-772-4335
Fax Number : 503-772-4337
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2010
Last Update Date : 10/04/2013

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Directions to “ DR. KING CHUNG YAM MD” Practice Location

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