Individual provider Active NPI

Renata Yang, M.D., M.P.H.

  • Psychiatry Physician
  • Portland, OR
National Provider Identifier
1689817199
Registry record updated Mar 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD154765 Issued in OR
Practice address
5050 NE Hoyt St Ste 522
Portland, OR 97213-2984
Phone
(503) 236-4343
Fax
(708) 779-7798
NPI assigned
Apr 14, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD154765 OR Primary

Addresses

Primary practice location

5050 NE Hoyt St Ste 522
Portland, OR 97213-2984

Mailing address

5050 NE Hoyt St Ste 522
Portland, OR 97213-2984
Phone (503) 236-4343

Other practice location 1

1225 NE 2nd Ave
Portland, OR 97232-2003
Phone (503) 944-8000

Other practice location 2

4805 NE Glisan St
Providence Psychiatry Clinic, Bldg A
Portland, OR 97213-2933
Phone (503) 215-6585

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address ryang459001@oc.providencedirect.org
Direct Messaging Address ryang459001@oc.providencedirect.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110928000565 OR Practitioner - Psychiatry 3375714074 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Ohio State University College of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Health and Services OregonGroup PAC ID 0648183608, 1,423 clinicians

Practice addresses (Care Compare)

9155 SW Barnes Rd
Suite 333
Portland, OR 97225-6630
Phone (503) 216-5102

Hospital & facility affiliations

  • Providence Portland Medical Center Hospital, Portland, OR, CCN 380061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD154765ORMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center CurrentSince Jan 21, 2020 Accepting new patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Legacy Emanuel Hospital & Health Center Psychiatry CurrentSince Jan 21, 2020 Accepting new patients
Providence Health & Services - Oregon Current Accepting new patients
Providence Health & Services Oregon Current Accepting new patients
Providence Health & Services Oregon Psychiatry CurrentSince Oct 6, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Oct 6, 2014 Accepting new patients
Providence Health & Services Oregon CurrentSince Feb 17, 2020 Accepting new patients
Providence Health & Services - Oregon CurrentSince Feb 17, 2020 Accepting new patients
Gregg F Reiter, PHD, PC PastSince Aug 2, 2020 Accepting new patients

Locations

200 S Hazel Dell Way
Canby, OR 97013
Phone (203) 263-9500

9290 SE Sunnybrook Blvd
Ste 210
Clackamas, OR 97015
Phone (503) 216-7960

440 NW Division St
Gresham, OR 97030
Phone (503) 215-9500

5050 NE Hoyt St
Ste 240
Portland, OR 97213
Phone (503) 215-6480

9155 SW Barnes Rd
Ste 333
Portland, OR 97225
Phone (503) 216-2028

4805 NE Glisan St
Portland, OR 97213
Phone (503) 215-1111

1321 NE 99th Ave
Ste 200
Portland, OR 97220
Phone (503) 215-4250

1225 NE 2nd Ave
Portland, OR 97232
Phone (503) 413-5051

5050 NE Hoyt St
Ste 454
Portland, OR 97213
Phone (503) 215-6405

5330 NE Glisan St
Ste 100
Portland, OR 97213
Phone (503) 215-9700

10330 SE 32nd Ave
Ste 205
Portland, OR 97222
Phone (503) 513-8950

1321 NE 99th Ave
Ste 100
Portland, OR 97220
Phone (503) 215-4050

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

4805 NE Glisan St
Bldg A
Portland, OR 97213
Phone (503) 215-6585

Organizations & group practices 11

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616630400000",
    "number": "1689817199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 522",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132984",
            "telephone_number": "503-236-4343",
            "fax_number": "708-779-7798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 NE HOYT ST STE 522",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972132984",
            "telephone_number": "503-236-4343",
            "fax_number": "708-779-7798"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1225 NE 2nd Ave",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972322003",
            "country_code": "US",
            "telephone_number": "503-944-8000",
            "fax_number": "503-944-8017",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4805 NE Glisan St",
            "address_2": "Providence Psychiatry Clinic, Bldg A",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "OR",
            "postal_code": "972132933",
            "country_code": "US",
            "telephone_number": "503-215-6585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YANG",
        "first_name": "RENATA",
        "name_prefix": "Dr.",
        "credential": "M.D., M.P.H.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-14",
        "last_updated": "2021-03-25",
        "certification_date": "2021-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "MD154765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryang459001@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "5251 NE Glisan St Bldg A2nd",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972133052",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ryang459001@oc.providencedirect.org",
            "affiliation": "N",
            "address_1": "4805 NE Glisan St",
            "address_2": "Providence Psychiatry Clinic, Bldg A",
            "city": "Portland",
            "state": "OR",
            "country_code": "US",
            "postal_code": "972132933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.