Individual
DREW YODER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
(503) 460-2796
Mailing address
1823 NE 8TH AVE, PORTLAND, OR 97212-3907
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
931180331
—
OR
Enumeration date
12/08/2014
Last updated
12/08/2014
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