Individual
GLENN ERIC YAUNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3697
Mailing address
10313 SW 69TH AVE, TIGARD, OR 97223-9103
(503) 726-3697
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
200040599RN
OR
Other
Enumeration date
06/09/2011
Last updated
06/09/2011
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