KELLY C YAN MPHNP-BC NPI 1255965166

NPI Information

NPI: 1255965166
Provider Name: KELLY C YAN, MPHNP-BC
Classification: Nurse Practitioner - 363LP0808X
Entity Type: Individual

Specialization: Psychiatric/Mental Health

PECOS Registration: Yes

Address:
1427 NW FLANDERS ST STE A
PORTLAND, OR
ZIP 97209
Phone: (503) 972-0235
Get Directions

Kelly C Yan, MPHNP-BC is a psychiatric/mental health nurse practitioner in Portland, OR. Kelly C Yan, MPHNP-BC NPI is 1255965166. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1427 NW FLANDERS ST STE A
PORTLAND, OR
ZIP 97209-646
Phone: (503) 972-0235

The NPI 1255965166 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 2/29/2020 and was last updated on 2/19/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363LP0808X	Nurse Practitioner	Psychiatric/Mental Health	202006258NP-PP	OREGON	Yes
2	163W00000X	Registered Nurse		201809234RN	OREGON	No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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