Individual
WHITNEY NICOLE YEUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6224
(541) 672-8533
Mailing address
2589 NW EDENBOWER BLVD, ROSEBURG, OR 97471-6224
(541) 672-8533
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
23-QMHA-R-3894
OR
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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