Individual
YI Y LIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3303 SE 89TH AVE, PORTLAND, OR 97266-1912
(541) 430-7868
Mailing address
3303 SE 89TH AVE, PORTLAND, OR 97266-1912
(541) 430-7868
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD21081
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
288043
—
OR
Enumeration date
07/13/2005
Last updated
01/25/2008
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