Individual
DR. SAMUEL YALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DVM
Contact information
Practice address
6117 SE 57TH AVE, PORTLAND, OR 97206-6814
(503) 308-0614
Mailing address
6117 SE 57TH AVE, PORTLAND, OR 97206-6814
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
6463
OR
Other
Enumeration date
09/12/2012
Last updated
09/12/2012
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