Individual
JENELLE YALDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15259 SE 82ND DR STE 101, CLACKAMAS, OR 97015-6609
(619) 633-5491
Mailing address
8414 NE 56TH ST, VANCOUVER, WA 98662-6283
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
AT4783
OR
Other
Enumeration date
07/11/2025
Last updated
07/25/2025
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