Provider Demographics
NPI:1811016215
Name:YIP-NG, MAYRON M (PT, MTC, OCS)
Entity Type:Individual
Prefix:
First Name:MAYRON
Middle Name:M
Last Name:YIP-NG
Suffix:
Gender:F
Credentials:PT, MTC, OCS
Other - Prefix:
Other - First Name:MOOI
Other - Middle Name:Y
Other - Last Name:YIP
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2865 NW 29TH ST
Mailing Address - Street 2:
Mailing Address - City:CORVALLIS
Mailing Address - State:OR
Mailing Address - Zip Code:97330-3516
Mailing Address - Country:US
Mailing Address - Phone:541-243-8199
Mailing Address - Fax:541-286-4485
Practice Address - Street 1:2865 NW 29TH ST
Practice Address - Street 2:
Practice Address - City:CORVALLIS
Practice Address - State:OR
Practice Address - Zip Code:97330
Practice Address - Country:US
Practice Address - Phone:540-752-0083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-28
Last Update Date:2019-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR602892251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic