Yatsushiro, Jon Derek
Yatsushiro, Jon Derek is an individual health care provider with primary practice located at 320 Ne 5Th St , Gresham OR 97030-7308. He recently has only one registered license in Dental Providers / Endodontics, which is considered as his primary health care specialty. Yatsushiro, Jon Derek can be contacted via phone (503) 665-0495.Contact Information
Primary practice address
320 Ne 5Th St
Gresham OR 97030-7308
Phone: (503) 665-0495
Fax: (503) 674-9196
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | D7505 | Oregon |
| Dental Providers / Endodontics | 1223E0200X | 1571 | Hawaii |
| Dental Providers / Endodontics | 1223E0200X | 35662 | California |
Profile Details
| NPI number | 1265505408 |
|---|---|
| LBN Legal business name | Yatsushiro, Jon Derek |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Aug 3rd, 2016 - about 8 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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