Individual
DR. YIICHIANG XXX KHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10100 SE SUNNYSIDE RD, KAISER PERMANENTE SUNNYBROOK MEDICAL OFFICE, CLACKAMAS, OR 97015-8970
(503) 786-8435
Mailing address
11628 SE WINGSPAN WAY, HAPPY VALLEY, OR 97086-4712
(503) 855-3049
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00035270
WA
207X00000X
Orthopaedic Surgery Physician
Primary
MD08283
OR
Other
Enumeration date
08/16/2006
Last updated
07/09/2007
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