Individual
CHEYENNE YAKES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
(503) 684-9274
Mailing address
7105 SW HAMPTON ST, TIGARD, OR 97223-8314
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
M420188
NUID NUMBER
OR
Enumeration date
09/03/2019
Last updated
09/03/2019
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