Individual
DR. YAN GAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
700 NE 87TH AVE, VANCOUVER, WA 98664-4896
(360) 397-3352
Mailing address
6040 NW MICHAELBROOK LN, CAMAS, WA 98607-9152
(757) 642-2345
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
MD208413
OR
2085R0202X
Diagnostic Radiology Physician
Primary
MD61498398
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
139178
BCBS
VA
01
—
65379
OPTIMA
VA
05
—
7248628
—
VA
05
—
89066HP
—
NC
01
—
P00044367
RR MEDICARE
VA
Enumeration date
12/01/2005
Last updated
10/11/2024
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