Individual
MS. JANICE KOH YATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3011
(503) 494-7641
(714) 285-0389
Mailing address
3181 SW SAM JACKSON PARK RD # L-579, PORTLAND, OR 97239-3011
(503) 494-7641
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
PG206995
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/24/2016
Last updated
01/22/2022
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