Individual
SHAWNETTA YAHTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
720 SE WASHINGTON ST, HILLSBORO, OR 97123-4230
(503) 238-0769
Mailing address
PO BOX 1234, WARM SPRINGS, OR 97761-1234
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/11/2007
Last updated
09/11/2007
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