Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 170100000X | Medical Geneticist | 2005007 | OR |
NPI | 1023449451 |
---|---|
Provider Name | Yassmine Akkari |
First Address | Portland, OR 97229-8963 |
Second Address | Portland, OR 97229-8963 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 11/12/2013 |
Last Update Date | 11/12/2013 |