Active NPI
Michelle Yan
- Physician Assistant
- Portland, OR
National Provider Identifier
1780400226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA231931
- Practice address
- 5050 NE Hoyt St Ste 422
Portland, OR 97213-2984 - Phone
- (503) 488-2345
- NPI assigned
- Nov 30, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA231931 | OR | Primary |
Addresses
Primary practice location
5050 NE Hoyt St Ste 422
Portland, OR 97213-2984
Mailing address
541 NE 20TH Ave Ste 225
Portland, OR 97232-2895
Phone (503) 963-2801
Other practice location 1
9155 SW Barnes Rd Ste 532
Portland, OR 97225-6632
Phone (503) 488-2344
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2393147 | Medicaid | WA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | cc_otoc_plastic_surgery_east_front_desk_pool12223181@oc.providencedirect.org | The Oregon Clinic PC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1732924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787875200000",
"number": "1780400226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "541 NE 20TH AVE STE 225",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972322895",
"telephone_number": "503-963-2801",
"fax_number": "503-963-2825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5050 NE HOYT ST STE 422",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972132984",
"telephone_number": "503-488-2345"
}
],
"practiceLocations": [
{
"address_1": "9155 SW Barnes Rd Ste 532",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972256632",
"country_code": "US",
"telephone_number": "503-488-2344",
"fax_number": "503-488-2360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "YAN",
"first_name": "MICHELLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-11-30",
"last_updated": "2026-08-28",
"certification_date": "2026-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OR",
"license": "PA231931",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2393147",
"state": "WA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "cc_otoc_plastic_surgery_east_front_desk_pool12223181@oc.providencedirect.org",
"affiliation": "Y",
"affiliationName": "The Oregon Clinic PC",
"address_1": "5050 NE Hoyt St Ste 422",
"city": "Portland",
"state": "OR",
"country_code": "US",
"postal_code": "972132984",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Aug 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.