Individual
JERRY J YOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
4000 KRUSE WAY PL STE 220, BLDG 2, LAKE OSWEGO, OR 97035-5545
(503) 636-9656
(503) 636-9657
Mailing address
4000 KRUSE WAY PL STE 220, BLDG 2, LAKE OSWEGO, OR 97035-5545
(503) 636-9656
(503) 636-9657
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
DP00338
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286958
—
OR
Enumeration date
08/16/2005
Last updated
08/02/2022
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