| Yale Liang, MD | |
|
831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 | |
| (503) 665-8176 | |
| (503) 665-8178 |
| Full Name | Yale Liang |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 831 Nw Council Dr Ste 101, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982664637 | NPI | - | NPPES |
| 280713100 | Medicaid | MN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 39823 (Minnesota) | Primary |
| 207Q00000X | Family Medicine | MD27884 (Oregon) | Secondary |
| Entity Name | Providence Health & Services - Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003991845 PECOS PAC ID: 5395656284 Enrollment ID: O20031113000626 |
| Entity Name | Providence Health & Services Oregon |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1578500492 PECOS PAC ID: 1557260106 Enrollment ID: O20040102000768 |
| Mailing Address | Practice Location Address |
|---|---|
| Yale Liang, MD Po Box 92900, Portland, OR 97292-0900 Ph: (503) 665-8176 | Yale Liang, MD 831 Nw Council Dr Ste 101, Gresham, OR 97030-3722 Ph: (503) 665-8176 |
Dr. Paul E Vanbredavriesman, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 18000 Se Stark Street, Gresham, OR 97233 Phone: 503-255-4243 Fax: 503-255-4243 | |
Allison Evans, PA-C Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030 Phone: 503-665-1010 | |
Dr. Joseph Mark Eisenberg, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 600 Ne 8th St, 3rd Floor, East County Health Center, Gresham, OR 97030 Phone: 503-988-5155 Fax: 503-988-5185 | |
Gordon Paul Canzler, D.O. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 400 Ne Roberts Ave, Gresham, OR 97030 Phone: 503-665-9144 Fax: 503-665-6404 | |
Caroline Chase Adams, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 440 Nw Division St, Gresham, OR 97030 Phone: 503-215-9525 | |
Paul Podett, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 24900 Se Stark St Ste 205, Gresham, OR 97030 Phone: 503-665-1010 Fax: 503-665-1023 | |
Svetlana Taycher, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 831 Nw Council Dr, Suite 125, Gresham, OR 97030 Phone: 503-661-3439 Fax: 503-669-1360 |