Individual
DR. BRYAN D YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
621 W MADRONE ST, ROSEBURG, OR 97470-3090
(541) 672-2691
(833) 299-8415
Mailing address
PO BOX 1121, ROSEBURG, OR 97470-0254
(541) 672-2691
(833) 299-8415
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD21708
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134013
—
OR
05
—
500664323
—
OR
Enumeration date
08/05/2006
Last updated
05/24/2021
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