Individual
MR. JOSEPH PAUL YENCHIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMT
Contact information
Practice address
985 NW 23RD ST, CORVALLIS, OR 97330-4309
(541) 231-1035
(541) 265-7820
Mailing address
985 NW 23RD ST, CORVALLIS, OR 97330-4309
(541) 231-1035
(541) 265-7820
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
17715
OR
Other
Enumeration date
01/17/2011
Last updated
01/17/2011
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