Individual
COLLEEN BERNICE YOAKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RDH
Contact information
Practice address
14406 NE 20TH AVE, VANCOUVER, WA 98686-1448
(800) 813-2000
Mailing address
2908 NW 93RD ST, VANCOUVER, WA 98665-6184
(360) 606-1162
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH00006663
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DH00006663
DENTAL HYGIENE LICENSE
WA
Enumeration date
12/04/2018
Last updated
12/04/2018
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