Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2084N0400X | Neurologist | 231745 | MA |
N | 2084N0402X | Child Neurologist | A85490 | CA |
Y | 2084N0402X | Child Neurologist | APP176294 | OR |
NPI | 1083804181 |
---|---|
Provider Name | Yoon-Jae Cho |
First Address | Portland, OR 97209-1770 |
Second Address | Portland, OR 97239-3011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/07/2007 |
Last Update Date | 05/01/2016 |