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Individual

DR. YORAM YAKIMOVSKY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
17860 ROBIN VIEW CT, WEST LINN, OR 97068-1055
(503) 954-6074
Mailing address
17860 ROBIN VIEW CT, WEST LINN, OR 97068-1055
(503) 954-6074

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
MD12635
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
050000426
RR MEDICARE
OR
05
1768704
WA
05
226654
OR
05
4160444 00
MD
05
MD8142R
AK
Enumeration date
08/05/2006
Last updated
03/28/2016
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