| NPI | 1295919603 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH EARL YANKEE Owner/Doctor 503-652-1456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: OR DO19458) |
| Additional Taxonomies | 173000000X Legal Medicine (Licence: OR DO19458) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2011-06-21 |