Individual
DR. MARK L YESKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
714 SW DORION AVE, PENDLETON, OR 97801-2039
(541) 276-2372
(541) 276-2411
Mailing address
3436 NE RIVERSIDE SCHOOL ST, PENDLETON, OR 97801-3463
(541) 276-6740
(541) 276-2411
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00171
OR
213ES0131X
Foot Surgery Podiatrist
DP00171
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
162099
—
OR
01
—
480033064
RAILROAD MEDICARE
OR
01
—
48431001
BLUE CROSS OF OREGON
OR
Enumeration date
05/03/2006
Last updated
08/24/2010
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