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Individual

DR. BENJAMIN CORNELL YAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-1913
(360) 882-2778
Mailing address
PO BOX 4825, PORTLAND, OR 97208-4825
(360) 882-2778
(360) 604-1771

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
01068194A
IN
207ZP0101X
Anatomic Pathology Physician
Primary
MD61062009
WA
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036122845
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
55604
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1093036162
WI
Enumeration date
06/11/2010
Last updated
07/08/2020
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