Individual
JOHN YU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4104 SE 82ND AVE STE 450, PORTLAND, OR 97266-2958
(503) 777-0761
Mailing address
3015 SE 74TH AVE, PORTLAND, OR 97206-1811
(503) 922-9976
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
H8094
OR
Other
Enumeration date
05/02/2021
Last updated
12/22/2021
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