Individual
DR. YING WAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DDS, MS
Contact information
Practice address
3490 LANCASTER DR NE, SALEM, OR 97305-1356
(855) 433-6825
Mailing address
6950 NE CAMPUS WAY, HILLSBORO, OR 97124-5611
(855) 433-6825
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
151012
NC
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
D11210
OR
Other
Enumeration date
11/12/2015
Last updated
03/16/2020
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