Individual
JONATHAN PETER YARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 656-1631
Mailing address
PO BOX 11120, WESTMINSTER, CA 92685-1120
(800) 311-6522
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
LL16233
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2070940
—
WA
Enumeration date
06/15/2007
Last updated
11/04/2008
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