Michelle Yan, DSOM, LAC.

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC191232 Issued in OR

Practice address

2855 NW Thurman St
Portland, OR 97210-2206

Phone

(805) 622-9821

NPI assigned

May 1, 2020

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Path Solaris LLC

  • Specialist
  • Portland, OR
  • NPI 1609453992
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588291200000",
    "number": "1164043022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2855 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2855 NW THURMAN ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972102206",
            "telephone_number": "805-622-9821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAN",
        "first_name": "MICHELLE",
        "name_prefix": "Dr.",
        "credential": "DSOM, LAC.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-01",
        "last_updated": "2020-05-01",
        "certification_date": "2020-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "OR",
            "license": "AC191232",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dan Min Yan, D.C.
• Esther Yan, LMT
• Kelly C Yan, PMHNP-BC
• Kitty Yan, OTR/L
• Kyle Yan
• Michelle Yan
• Lisa Rietz Yanase, MD
• Laurel Lorraine Yancey, D.C.
• Emilia Yanez
• Alison Yang, PT, DPT

• Acupuncturist in Portland, OR
• Providers in Portland, OR by specialty
• Acupuncturist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.