Individual
NATACHA YAIKO YONEZUKA-GULLO
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1960 NW 167TH PL, SU 205, BEAVERTON, OR 97006
(503) 629-7500
(503) 629-7505
Mailing address
1840 NW RAMSEY DR, PORTLAND, OR 97229-4241
(503) 223-3569
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
PA00953
OR
Other
Enumeration date
11/11/2005
Last updated
07/09/2007
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