Individual
MICHAEL L YORGENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A .
Contact information
Practice address
MADIGAN ARMY MEDICAL CENTER 9040 JACKSON AVE, TACOMA, WA 98431-0001
(253) 966-1991
Mailing address
8612 43RD ST W, UNIVERSITY PLACE, WA 98466-7508
(253) 966-1991
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
WAPA 10003419
WA
Other
Enumeration date
09/11/2006
Last updated
12/26/2019
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