Individual
DR. PAUL U YUTAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
14535 WESTLAKE DR STE B, LAKE OSWEGO, OR 97035-7775
(503) 479-5608
Mailing address
14110 GABRIELLE CT, LAKE OSWEGO, OR 97035-5759
(503) 314-7889
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
207R00000X
Internal Medicine Physician
Primary
MD24270
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181616
—
OR
Enumeration date
06/20/2006
Last updated
05/04/2025
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