Thomas Roger Yackel MD

NPI 1093722928 - Internal Medicine - 207R00000X

NPI Details
NPI 1093722928
Gender Male
Enumeration Date 08/02/2006
Last Updated 07/13/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
3181 SW SAM JACKSON PARK RD
MAIL CODE: BICC
PORTLAND OR, 97239-3011, US
Phone (503) 494-8562
Fax (503) 494-6344
Business Location
3181 SW SAM JACKSON PARK RD
MAIL CODE: BICC
PORTLAND OR, 97239-3011, US
Phone (503) 494-8562
Fax (503) 494-6344
Toxanomy
Taxonomy Code 207R00000X
License State Oregon
License Number MD22490
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According to our database, Dr. Thomas Roger Yackel MD NPI is 1093722928, taxonomy code is 207R00000X and license number is MD22490, license state is located at Oregon. Thomas Roger Yackel MD physically located at 3181 Sw Sam Jackson Park Rd, Portland OR, 97239-3011. NPI Number Thomas Roger Yackel MD has the Individual type.

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1093722928 NPI number is provided on an as is basis without warranty of any kind. 1093722928 is maintained by the National Plan & Provider Enumeration System. The contents of Thomas Roger Yackel MD are for informational purposes only.