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Individual

STEVEN LESLIE YATES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
15755 SW SEQUOIA PKWY, TIGARD, OR 97224-7166
(503) 639-8284
(503) 624-7216
Mailing address
1825 N WILLIAMS AVE, PORTLAND, OR 97227-1864
(503) 288-2615
(503) 288-0339

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0662
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
093518
OR
Enumeration date
07/06/2006
Last updated
07/08/2007
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