Provider Demographics
NPI:1942870183
Name:YANG, JING IRIS (DMD)
Entity type:Individual
Prefix:
First Name:JING
Middle Name:IRIS
Last Name:YANG
Suffix:
Gender:F
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8954 NE COLONNADE DR
Mailing Address - Street 2:
Mailing Address - City:HILLSBORO
Mailing Address - State:OR
Mailing Address - Zip Code:97124-7782
Mailing Address - Country:US
Mailing Address - Phone:781-864-0247
Mailing Address - Fax:
Practice Address - Street 1:800 NE TENNEY RD STE B201
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98685-2831
Practice Address - Country:US
Practice Address - Phone:360-262-4509
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-29
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WADE615487771223P0300X
ORD119091223P0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223P0300XDental ProvidersDentistPeriodontics