Individual
JENNIFER YEAST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
Mailing address
2400 SW VERMONT ST, PORTLAND, OR 97219-1940
(503) 452-0915
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125.060910
IL
207R00000X
Internal Medicine Physician
Primary
DO178137
OR
Other
Enumeration date
06/08/2012
Last updated
12/03/2020
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