Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207T00000X | Neurosurgeon | 04-42333 | KS |
Y | 207T00000X | Neurosurgeon | MD187909 | OR |
N | 207T00000X | Neurosurgeon | MD60267049 | WA |
NPI | 1073779435 |
---|---|
Provider Name | Yaw Sarpong |
First Address | Corvallis, OR 97330-3771 |
Second Address | Corvallis, OR 97330-3771 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2008 |
Last Update Date | 01/06/2021 |