Individual
ELLIOT WOONG-JOONE YOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5050 NE HOYT ST STE 454, PORTLAND, OR 97213
(503) 215-6168
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD190481
OR
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
MD190481
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500655128
—
OR
Enumeration date
04/23/2012
Last updated
06/10/2019
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