Individual
ANDA KARLEEN BALDERRAMA YANGSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
506 4TH ST, LA GRANDE, OR 97850-1906
(514) 663-3138
Mailing address
501 4TH ST, LA GRANDE, OR 97850-1905
(541) 663-3138
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD28564
OR
Other
Enumeration date
04/12/2007
Last updated
08/17/2009
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