Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0000X | Hematologist | MD00046134 | WA |
Y | 207RX0202X | Medical Oncology | MD00046134 | WA |
NPI | 1245229137 |
---|---|
Provider Name | Dr. Gang Ye |
First Address | Vancouver, WA 98664-1913 |
Second Address | Vancouver, WA 98664-1913 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/10/2005 |
Last Update Date | 13/10/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1423726 | (05) | LA |
8452245 | (05) | WA |