Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | A132682 | CA |
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 176801 | OR |
N | 207XP3100X | Pediatric Orthopaedic Surgeon | 60644720 | WA |
NPI | 1093959330 |
---|---|
Provider Name | Dr. Scott Yang |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/04/2009 |
Last Update Date | 24/10/2016 |