Individual provider Active NPI

Yan Duan, ARNP

  • Family Nurse Practitioner
  • Portland, OR
National Provider Identifier
1770504763
Registry record updated Jun 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
200750041NP FNP-PP Issued in OR
Practice address
10250 SW Greenburg Rd
4 Lincoln Suite 110
Portland, OR 97223-5443
Phone
(503) 293-4055
Fax
(503) 293-8332
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X PA401 KY
Family Nurse Practitioner 363LF0000X 200750041NP FNP-PP OR Primary

Addresses

Primary practice location

10250 SW Greenburg Rd
4 Lincoln Suite 110
Portland, OR 97223-5443

Mailing address

10250 SW Greenburg Rd
4 Lincoln Suite 110
Portland, OR 97223-5460
Phone (503) 293-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
200750041NP FNP-PPORMDFamily Nurse Practitioner

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213660800000",
    "number": "1770504763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10250 SW GREENBURG RD",
            "address_2": "4 LINCOLN SUITE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235460",
            "telephone_number": "503-293-4055",
            "fax_number": "503-293-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10250 SW GREENBURG RD",
            "address_2": "4 LINCOLN SUITE 110",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972235443",
            "telephone_number": "503-293-4055",
            "fax_number": "503-293-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUAN",
        "first_name": "YAN",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2008-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "PA401",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "OR",
            "license": "200750041NP FNP-PP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 17, 2008; 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.