Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | MD24898 | OR |
NPI | 1023037306 |
---|---|
Provider Name | Donald K Yang |
First Address | Springfield, OR 97477-8800 |
Second Address | Springfield, OR 97477-8800 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 09/12/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
275113 | (05) | OR |
H53587 | (02) | OR |