Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223D0001X | Dental Public Health | DE 00009830 | WA |
NPI | 1639495815 |
---|---|
Provider Name | Dr. James Marshall Yerkes |
First Address | Port Angeles, WA 98362-8263 |
Second Address | Port Angeles, WA 98362-8263 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 13/04/2010 |