Individual
URIAH HEATH YRAGUEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
(833) 299-8415
Mailing address
3081 NE JOHNSON ST, ROSEBURG, OR 97470-6244
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/13/2022
Last updated
09/13/2022
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