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Yunjing Fang

Psychiatry & Neurology

Allopathic & Osteopathic Physicians

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

PECOS Enrollment

Based on the most recent information from CMS, provider Yunjing Fang is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1437415858
Provider Type
Individual
Full Name
Fang, Yunjing
Credential
M.D.

Gender
Female
Sole Proprietor
No
Enumeration Date
4/10/2012
Last Updated
3/17/2018

Contact Information

Practice Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

(503) 494-8144

Unlisted Fax

Mailing Location

3181 SW Sam Jackson Park Rd, Portland, OR 97239-3011

Unlisted Phone

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 2084P0800X Primary	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License MD182446 Oregon
Code 2084P0800X	Description Psychiatry & Neurology Allopathic & Osteopathic Physicians	License A129472 California

Yunjing Fang

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Bajrovic, Emina

Barrett, Thomas Beach

Usher, Craigan Todd

Kennedy, Donald Louis

Anderson, Jordan Roderick

Wheler, Glynne Henry Trevor

Turner, Erick Howard

Chung, Janice

Betlinski, Jonathan Paul

Howard, Lindsay