Individual
YANAN SHANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3303 S BOND AVE, PORTLAND, OR 97239-4501
(503) 494-7772
(503) 418-3283
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-7772
(503) 418-3283
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
MD179667
OR
2084N0400X
Neurology Physician
MD60226728
WA
2084N0600X
Clinical Neurophysiology Physician
MD60226728
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2014507
—
WA
05
—
500639215
—
OR
Enumeration date
01/16/2007
Last updated
01/11/2022
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