Individual provider Active NPI

Vee S Yoong, PA-C, PH.D.

  • Medical Physician Assistant
  • Portland, OR
National Provider Identifier
1700833217
Registry record updated Dec 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
169107 Issued in OR
Practice address
135 NE 102ND Ave
Portland, OR 97220-4167
Phone
(503) 894-9005
Fax
(503) 719-4178
NPI assigned
May 28, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 14

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.

View all 14

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Medicare enrollment records 2

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20050920000461 WA Practitioner - Physician Assistant 6002840014 Reassigns benefits to 3 organizations
I20051027000377 OR Practitioner - Physician Assistant 6002840014 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
258HIMDMarriage & Family Therapist
630AKMDVeterinarian
169107ORMDMedical Physician Assistant
10003812WAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 22, 2023 Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 3, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince May 22, 2023 Accepting new patients
Public Hospital District No. 2, Klickitat County, Washington Current Accepting new patients
Northwest Medical Foundation of Tillamook CurrentSince Jan 3, 2022 Accepting new patients
Sapphire at Gresham Rehab, LLC CurrentSince May 22, 2023 Accepting new patients
Peacehealth Past Accepting new patients
Hawaii Cardiology, Inc Past Accepting new patients
Portland Wellness Care Past Accepting new patients
Kittitas County Hospital Dist 2 Past Accepting new patients

Locations

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1000 3rd St
#M
Tillamook, OR 97141
Phone (503) 815-2260

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Specialties & licenses 4

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 630 AK
Medical Physician Assistant 363AM0700X 258 HI
Medical Physician Assistant 363AM0700X 10003812 WA
Medical Physician Assistant 363AM0700X 169107 OR Primary

Addresses

NPPES NPI Registry

Primary practice location

135 NE 102ND Ave
Portland, OR 97220-4167

Mailing address

18 NW 20TH Ave
Battle Ground, WA 98604-4175
Phone (360) 952-4457

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
584749MedicaidHI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 3, 2021.

{
    "created_epoch": "1148774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638489600000",
    "number": "1700833217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 NW 20TH AVE",
            "city": "BATTLE GROUND",
            "state": "WA",
            "postal_code": "986044175",
            "telephone_number": "360-952-4457",
            "fax_number": "360-828-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 NE 102ND AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972204167",
            "telephone_number": "503-894-9005",
            "fax_number": "503-719-4178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOONG",
        "first_name": "VEE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "PA-C, PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-28",
        "last_updated": "2021-12-03",
        "certification_date": "2021-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AK",
            "license": "630",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "HI",
            "license": "258",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WA",
            "license": "10003812",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OR",
            "license": "169107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "584749",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.