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Individual

JILL RUDNICK YOMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.A.

Contact information

Practice address
1151 N. ADAIR ST., CORNELIUS, OR 97113
(503) 352-8524
(503) 357-4371
Mailing address
PO BOX 6149, ALOHA, OR 97007-0149
(503) 352-8657
(503) 434-8597

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA01353
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
500610446
OR
Enumeration date
10/16/2006
Last updated
01/09/2019
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