Dr. Samuel P. Yang
Clinical Genetics (M.D.)
105 W 8th Ave Suite 454e
Spokane
, Washington 99204-2302
Dr. Samuel P. Yang
Clinical Genetics (M.D.)
105 W 8th Ave Suite 454e
Spokane
, Washington 99204-2302
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About
Features
Specialties
- Clinical Genetics (M.D.)
Languages spoken
- English
Location
First Address
- Dr. Samuel P. Yang
- Po Box 421
- Liberty Lake, WA
- Zip : 99019-0421
- Phone :
Second Address
- Dr. Samuel P. Yang
- 105 W 8th Ave Suite 454e
- Spokane, WA
- Zip : 99204-2302
- Phone : (509) 474-3810
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207SG0201X | Clinical Genetics (M.D.) | 12316 | MT |
| N | 207SG0201X | Clinical Genetics (M.D.) | A40286 | CA |
| Y | 207SG0201X | Clinical Genetics (M.D.) | MD60604622 | WA |
National Provider Identifier
| NPI | 1174507073 |
|---|---|
| Provider Name | Dr. Samuel P. Yang |
| First Address | Liberty Lake, WA 99019-0421 |
| Second Address | Spokane, WA 99204-2302 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 05/12/2005 |
| Last Update Date | 14/01/2016 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00A402860 | (05) | CA |
| 00A402861 | (05) | CA |
| 00A402862 | (05) | CA |
| A29094 | (02) | |
| A40286 | MEDICAL LICENSE (01) | CA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.