Most Relevant Information
Provider Data
| NPI Number: | 1003357831 |
| Provider Name: | SUNGJAE YANG |
| Entity Type: | Individual |
| Taxonomy Code: | 207W00000X |
| Specialty: | Ophthalmology |
| License Number: | FE179911 |
Most Important Dates
| Enumeration Date: | 03/13/2017 |
| Last Updated: | 03/13/2017 |
Provider Practice Location
3375 SW TERWILLIGER BLD
CASEY EYE INSTITUE
PORTLAND
OR
972393098
Practice Location Phone/Fax
| Phone: | 5034945023 |
| Fax: |
Provider Mailing Location
3375 SW TERWILLIGER BLD
CASEY EYE INSTITUE
PORTLAND
OR
972393098
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |