Active NPI
Yale Liang, MD
- Family Medicine Physician
- Gresham, OR
National Provider Identifier
1982664637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 39823
- Practice address
- 831 NW Council Dr Ste 101
Gresham, OR 97030-3722 - Phone
- (503) 665-8176
- Fax
- (503) 665-8178
- NPI assigned
- Mar 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 39823 | MN | Primary |
| Family Medicine Physician | 207Q00000X | MD27884 | OR |
Addresses
Primary practice location
831 NW Council Dr Ste 101
Gresham, OR 97030-3722
Mailing address
PO Box 92900
Portland, OR 97292-0900
Phone (503) 665-8176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 280713100 | Medicaid | MN |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | yliang132910@oc.providencedirect.org | ||
| Direct Messaging Address | yliang132910@oc.providencedirect.org |
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
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39823 | MN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616716800000",
"number": "1982664637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 92900",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972920900",
"telephone_number": "503-665-8176",
"fax_number": "503-665-8178"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "831 NW COUNCIL DR STE 101",
"city": "GRESHAM",
"state": "OR",
"postal_code": "970303722",
"telephone_number": "503-665-8176",
"fax_number": "503-665-8178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIANG",
"first_name": "YALE",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-26",
"last_updated": "2021-03-26",
"certification_date": "2021-03-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "39823",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OR",
"license": "MD27884",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "280713100",
"state": "MN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yliang132910@oc.providencedirect.org",
"affiliation": "N",
"address_1": "18040 SW Lower Boones Ferry Rd Ste 100A",
"city": "Tigard",
"state": "OR",
"country_code": "US",
"postal_code": "972247259",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "yliang132910@oc.providencedirect.org",
"affiliation": "N",
"address_1": "16180 SE Sunnyside Rd Ste 102",
"city": "Happy Valley",
"state": "OR",
"country_code": "US",
"postal_code": "970156302",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Gresham, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.