Individual
YAZMIN AMANDA TENORIO CHAVARRIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
875 OAK ST SE, SALEM, OR 97301-3975
(503) 814-1444
Mailing address
PO BOX 13129, SALEM, OR 97309-1129
(503) 814-7557
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
—
CA
363AS0400X
Surgical Physician Assistant
Primary
PA223452
OR
Other
Enumeration date
09/20/2021
Last updated
04/02/2025
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