Provider Demographics
NPI:1649321217
Name:YANG, CAROLYN BETTY (MD)
Entity type:Individual
Prefix:DR
First Name:CAROLYN
Middle Name:BETTY
Last Name:YANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5050 NE HOYT ST
Mailing Address - Street 2:STE 660
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97213-2990
Mailing Address - Country:US
Mailing Address - Phone:503-239-8430
Mailing Address - Fax:503-235-9342
Practice Address - Street 1:5050 NE HOYT ST STE 660
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97213-2990
Practice Address - Country:US
Practice Address - Phone:913-588-7590
Practice Address - Fax:913-588-8186
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-12
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORMD157690207X00000X, 207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery