Individual
YAEL OFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1608 SE ANKENY ST, PORTLAND, OR 97214-1448
(503) 233-3001
Mailing address
5050 NE 13TH AVE, PORTLAND, OR 97211-5080
Taxonomy
Speciality
Code
Description
License number
State
363LX0001X
Obstetrics & Gynecology Nurse Practitioner
Primary
201408264NP-PP
OR
Other
Enumeration date
12/11/2014
Last updated
12/11/2014
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