Individual
ANNA YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
365 WARNER MILNE RD STE 110, OREGON CITY, OR 97045-4073
(971) 206-7115
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3098
(503) 494-8211
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D11306
OR
1223G0001X
General Practice Dentistry
D11306
OR
1223P0221X
Pediatric Dentistry
Primary
D11306
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/13/2020
Last updated
08/11/2022
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