Individual
STEPHEN JOHN YERMAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1111 NE 99TH AVE, SUITE 302, PORTLAND, OR 97220-9428
(503) 963-2763
Mailing address
1000 SW VISTA AVE, #1215, PORTLAND, OR 97205-1152
(503) 206-6588
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
200660049CRNA
OR
Other
Enumeration date
10/19/2011
Last updated
10/19/2011
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