Individual
TODD YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
1312 SW WASHINGTON ST, PORTLAND, OR 97205-2327
(503) 535-1173
Mailing address
1203 KAREN WAY NW, SALEM, OR 97304-2916
(971) 235-6071
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
201902955RN
OR
Other
Enumeration date
05/10/2020
Last updated
05/10/2020
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