Individual
YVONNE WANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDW-EM, PORTLAND, OR 97239-3098
(503) 494-1587
Mailing address
3181 SW SAM JACKSON PARK RD, MAIL CODE CDW-EM, PORTLAND, OR 97239-3098
(503) 494-1587
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
171252
OR
207P00000X
Emergency Medicine Physician
LP02266
RI
Other
Enumeration date
05/23/2011
Last updated
05/06/2015
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