Individual
CANARY YEN HOANG LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DNP, FNP-BC, RN
Contact information
Practice address
3303 S BOND AVE FL 9, PORTLAND, OR 97239-4501
(503) 494-8573
(503) 494-3457
Mailing address
3303 S BOND AVE FL 9, PORTLAND, OR 97239-4501
(503) 494-8573
(503) 494-3457
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
202205726RN
OR
163W00000X
Registered Nurse
RN2337048
MA
363LF0000X
Family Nurse Practitioner
Primary
202205783NP-PP
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202205726RN
RN
OR
01
—
202205783NP-PP
NP-PP FAMILY
OR
01
—
RN2337048
REGISTERED NURSE
MA
Enumeration date
12/02/2019
Last updated
03/04/2025
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