Individual
JERRY YEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 N 20TH AVE, CORNELIUS, OR 97113-7471
(503) 357-0762
Mailing address
115 N 20TH AVE, CORNELIUS, OR 97113-7471
(503) 357-0762
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0016943
OR
Other
Enumeration date
11/20/2018
Last updated
11/20/2018
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