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Contact Information

YANAN SHANG, MD
3303 S BOND AVE
PORTLAND, OR97239-4501
 Phone: 503-494-7772
 Fax: 503-418-3283
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Neurology

2084N0400X 13 Physician/Neurology
 

Clinical Neurophysiology

2084N0600X 86 Physician/Neuropsychiatry
Indicates primary specialty

NPI Profile & details for YANAN SHANG · (Female)

NPI Number 1174674006
Status Active
Credentials MD
Entity Individual
Enumeration date 01/16/2007
Last updated 01/11/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • OR License # MD179667
  • WA License # MD60226728
  • OR Medicaid 500639215
  • WA Medicaid 2014507
Hospital affiliation(s)
  • OHSU HOSPITAL AND CLINICS - (Acute Care)
    3181 SW SAM JACKSON PARK ROAD
    PORTLAND, OR 97239
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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