Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 126800000X | Dental Assistant |
NPI | 1215571013 |
---|---|
Provider Name | Kathi Ann Mari Yamamoto |
First Address | Tigard, OR 97223-8314 |
Second Address | Tigard, OR 97223-8314 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2019 |
Last Update Date | 05/11/2019 |