Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | DO28670 | OR |
N | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DO2242 | NV |
Y | 207QH0002X | Family Doctor - Hospice and Palliative Medicine | DO28670 | OR |
NPI | 1124126362 |
---|---|
Provider Name | Dr. Yolanda Beatriz Suarez |
First Address | Portland, OR 97208-3777 |
Second Address | Portland, OR 97210 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/09/2006 |
Last Update Date | 05/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
16383948 | CAQH (01) | |
271310 | (05) | OR |