Individual
STEPHANIE YOUREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
350 EAST LN S, ONTARIO, OR 97914-3058
(541) 889-2020
Mailing address
5315 ELMORE RD, FRUITLAND, ID 83619-3704
(208) 740-4997
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
ATI4719
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/11/2024
Last updated
07/03/2024
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