Individual
DR. SUSAN MARIE YAZVAC
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
DC, DACBR
Contact information
Practice address
4010 SE 42ND AVE, PORTLAND, OR 97206-3211
(503) 771-8105
(503) 777-5683
Mailing address
4010 SE 42ND AVE, PORTLAND, OR 97206-3211
(503) 771-8105
(503) 777-5683
Taxonomy
Speciality
Code
Description
License number
State
111NR0200X
Radiology Chiropractor
Primary
2014
OR
Other
Enumeration date
05/25/2006
Last updated
07/09/2007
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