Individual
MARK YOST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
9975 SW FREWING ST STE 130, TIGARD, OR 97223-5091
(503) 906-3596
(503) 906-1014
Mailing address
1834 NW 25TH AVE APT 501, PORTLAND, OR 97210-2764
(415) 407-6519
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
44277
OR
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
10/04/2022
Last updated
06/11/2024
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