Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD203921 | OR |
NPI | 1023542594 |
---|---|
Provider Name | Kaileen Yeh |
First Address | Portland, OR 97239-3011 |
Second Address | Portland, OR 97210-3049 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2017 |
Last Update Date | 08/07/2021 |