Dr. Michelle Yan, DSOM, LAc.
Acupuncturist in Portland, OR. Individual provider (NPI-1).
NPI number1164043022
StatusActive
Last updated in NPPESMay 1, 2020
Details
- NPI
- 1164043022
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michelle Yan
- Credential
- DSOM, LAc.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 1, 2020
- Certification date
- May 1, 2020
- Last updated
- May 1, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC191232 | OR | Yes |
Practice location
2855 Nw Thurman StPortland, OR 97210-2206
Phone 805-622-9821
Mailing address
2855 Nw Thurman StPortland, OR 97210-2206
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