Active NPI
Dan Min Yan, D.C.
- Independent Medical Examiner Chiropractor
- Portland, OR
National Provider Identifier
1366631657
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Independent Medical Examiner Chiropractor
- License
- 273124
- Practice address
- 7505 S.E. Powell Blvd
Portland, OR 97206-2453 - Phone
- (503) 888-8883
- NPI assigned
- Oct 23, 2007
- Last updated
- Oct 23, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 273124 | OR | |
| Independent Medical Examiner Chiropractor | 111NI0013X | 273124 | OR | Primary |
Addresses
Primary practice location
7505 S.E. Powell Blvd
Portland, OR 97206-2453
Mailing address
7505 SE Powell Blvd
Portland, OR 97206-2453
Phone (503) 888-8883
Other names 1
- Dan Min Yan
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 273124 | OR | MD | Independent Medical Examiner Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kangfulin Naturopathy Center, LLC | Current | Accepting new patients |
Locations
3699 NE John Olsen Ave
Unit 2
Hillsboro, OR 97124
Phone (971) 406-9079
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Naturopath
- Hillsboro, OR
- NPI 1407672389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193097600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193097600000",
"number": "1366631657",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7505 SE POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062453",
"telephone_number": "503-888-8883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7505 S.E. POWELL BLVD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972062453",
"telephone_number": "503-888-8883"
}
],
"practiceLocations": [],
"basic": {
"last_name": "YAN",
"first_name": "DAN",
"middle_name": "MIN",
"name_prefix": "Mr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-23",
"last_updated": "2007-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OR",
"license": "273124",
"primary": false
},
{
"code": "111NI0013X",
"taxonomy_group": "",
"desc": "Chiropractor, Independent Medical Examiner",
"state": "OR",
"license": "273124",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DAN",
"last_name": "YAN",
"middle_name": "MIN",
"credential": "D.C.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.