Individual
MICHAEL EARL YETTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
33721 E COLUMBIA AVE, SCAPPOOSE, OR 97056-3426
(503) 418-4222
Mailing address
4530 SE 39TH AVE, PORTLAND, OR 97202-3120
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/26/2006
Last updated
07/08/2007
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