Individual provider Active NPI

Yi Y Lian, M.D.

  • Specialist
  • Portland, OR
National Provider Identifier
1891793782
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
MD21081 Issued in OR
Practice address
3303 SE 89TH Ave
Portland, OR 97266-1912
Phone
(541) 430-7868
NPI assigned
Jul 13, 2005
Last updated
Jan 25, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X MD21081 OR Primary

Addresses

Primary practice location

3303 SE 89TH Ave
Portland, OR 97266-1912

Mailing address

3303 SE 89TH Ave
Portland, OR 97266-1912
Phone (541) 430-7868

Other identifiers 1

IdentifierTypeStateIssuer
288043MedicaidOR

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
I20110531000045 OR Order and Referring Only - General PracticePractitioner - General Practice 5294711263

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lifetime Health Clinic Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1201219200000",
    "number": "1891793782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3303 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661912",
            "telephone_number": "541-430-7868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 SE 89TH AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972661912",
            "telephone_number": "541-430-7868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAN",
        "first_name": "YI",
        "middle_name": "Y",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2008-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "OR",
            "license": "MD21081",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "288043",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portland, OR

Sources for this page

Verify at the official NPI Registry.