Individual provider · Type 1 NPI

Kelly C. Yan, PMHNP-BC

Psychiatric/Mental Health Nurse Practitioner · Portland, OR

NPI number 1255965166 Active

Practice location

1020 SW Taylor St. Suite 448
Portland, OR 97205-2509

Call (971) 300-4254 Map

Fax (503) 200-1241

Mailing address

1020 SW Taylor St Ste 448
Portland, OR 97205-2509

Specialties and licenses

TaxonomyCodeLicense
Registered Nurse 163W00000X201809234RN (OR)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X202006258NP-PP (OR)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1255965166

Kelly C. Yan, PMHNP-BC's National Provider Identifier is 1255965166, issued on Feb 29, 2020. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Portland, OR. The record was last updated on Sep 11, 2026.