Organization
GRESHAM WOMEN'S HEALTHCARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. B. EDWARD YANKE D.O. (OWNER)
(503) 667-4545
Entity
Organization
Contact information
Practice address
2150 NE DIVISION ST STE 202, GRESHAM, OR 97030-5859
(503) 667-4545
(503) 666-3298
Mailing address
2150 NE DIVISION ST STE 202, GRESHAM, OR 97030-5859
(503) 667-4545
(503) 666-3298
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
DO17065
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
269959
—
OR
Enumeration date
11/27/2007
Last updated
12/13/2007
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