Individual
DR. CLARENCE WAYNE YOCKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(503) 626-9494
(503) 646-8401
Mailing address
9670 SW BEAVERTON HILLSDALE HWY, BEAVERTON, OR 97005-3307
(503) 626-9494
(503) 646-8401
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0861
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
076732
—
OR
Enumeration date
10/12/2006
Last updated
07/09/2007
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