Individual
DR. EDWIN YEN WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
698 12TH ST SE STE 145, SALEM, OR 97301
(503) 588-2674
(503) 391-1200
Mailing address
698 12TH ST SE STE 145, SALEM, OR 97301-4076
(503) 588-2674
(503) 391-1200
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
27734
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
241589
—
OR
Enumeration date
04/14/2006
Last updated
05/23/2018
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