Individual
DR. JAMES FERRIS MOSE YANNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS MD
Contact information
Practice address
1672 WILLAMETTE FALLS DR, SUITE D, WEST LINN, OR 97068-4661
(503) 722-4377
(503) 722-4413
Mailing address
1672 WILLAMETTE FALLS DR, SUITE D, WEST LINN, OR 97068-4661
(503) 722-4377
(503) 722-4413
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
6119
OR
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
17195
SC
204E00000X
Oral & Maxillofacial Surgery (D.M.D.)
Primary
MD15327
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
194626700
US DEPT OF LABOR
—
Enumeration date
11/22/2006
Last updated
04/23/2015
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