Organization
SHAWNTE YATES, ND, LAC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAWNTE YATES ND, LAC (OWNER)
(360) 448-3969
Entity
Organization
Contact information
Practice address
1110 SE ALDER ST STE 201, PORTLAND, OR 97214-2400
(503) 477-5051
(503) 954-2374
Mailing address
1110 SE ALDER ST STE 201, PORTLAND, OR 97214-2400
(503) 477-5051
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC169326
OR
175F00000X
Naturopath
Primary
2073
OR
Other
Enumeration date
01/22/2015
Last updated
01/22/2015
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