Individual
DEANA YAKYMCHUK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5039 SE BRIAR CT, PORTLAND, OR 97267-5974
(360) 325-5523
Mailing address
5039 SE BRIAR CT, PORTLAND, OR 97267-5974
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
—
OR
253Z00000X
In Home Supportive Care Agency
—
OR
310400000X
Assisted Living Facility
—
OR
3104A0625X
Assisted Living Facility (Mental Illness)
—
OR
311ZA0620X
Adult Care Home Facility
—
OR
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
OR
323P00000X
Psychiatric Residential Treatment Facility
—
OR
Other
Enumeration date
12/01/2025
Last updated
12/01/2025
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