Individual
MR. ROBERT T YEAGER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
964 W IDAHO AVE, SNAKE RIVER RADIOLOGY PC, ONTARIO, OR 97914-2111
(541) 889-9545
(541) 889-8376
Mailing address
964 W IDAHO AVE, SNAKE RIVER RADIOLOGY PC, ONTARIO, OR 97914-2111
(541) 889-9545
(541) 889-8376
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD21487
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
130047
—
OR
Enumeration date
05/03/2006
Last updated
07/08/2007
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