Individual
NANCY J YANKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
4380 CHERRY AVE NE, KEIZER, OR 97303-4855
(907) 841-0849
Mailing address
2270 GIBSONWOODS CT NW, SALEM, OR 97304-1752
(907) 841-0849
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
10021317
OR
Other
Enumeration date
01/26/2024
Last updated
01/26/2024
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