Individual
DR. JAEWON YANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 RICHMOND ST, PROVIDENCE, RI 02903-4228
(401) 863-5077
(401) 863-5096
Mailing address
325 9TH AVE # 359798, SEATTLE, WA 98104-2420
(206) 744-3466
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
ML61164609
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/30/2021
Last updated
05/06/2021
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