Individual
JERRY YALE JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Mailing address
1175 MOUNT HOOD AVE, WOODBURN, OR 97071-9060
(503) 982-2000
(503) 982-0660
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
2007-01061
NC
207Q00000X
Family Medicine Physician
Primary
66396
TN
207Q00000X
Family Medicine Physician
MD167386
OR
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
MD167386
OR
Other
Enumeration date
08/18/2006
Last updated
05/19/2023
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