Individual
YEN-YI JUO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1130 NW 22ND AVE STE 500, PORTLAND, OR 97210
(503) 413-5725
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
A142982
CA
208600000X
Surgery Physician
Primary
MD223896
OR
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2013
Last updated
07/22/2025
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