Jon Derek Yatsushiro, D.D.S.

Endodontics · Gresham, OR

Individual Active NPI

NPI number 1265505408

Practice location

320 NE 5TH St
Gresham, OR 97030-7308
Phone
(503) 665-0495
Fax
(503) 674-9196

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NPI record

NPI
1265505408
Entity type
Individual (Type 1)
Enumeration date
November 16, 2006
Last updated
August 3, 2016
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Endodontics Primary 1223E0200X D7505 OR
Endodontics 1223E0200X 1571 HI
Endodontics 1223E0200X 35662 CA

About Dr. Yatsushiro

Jon Derek Yatsushiro, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy Endodontics (code 1223E0200X). The practice location is 320 NE 5TH St, Gresham, OR 97030-7308. The NPI number 1265505408 was assigned on November 16, 2006 and the record was last updated on August 3, 2016.

Dr. Yatsushiro lists 3 licenses in the registry: #D7505 (OR) for Endodontics; #1571 (HI) for Endodontics; #35662 (CA) for Endodontics. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jon Derek Yatsushiro, D.D.S.?

The NPI number is 1265505408.

What is the phone number of Dr. Yatsushiro?

The phone number listed for the practice location is (503) 665-0495.

Where is Dr. Yatsushiro located?

320 NE 5TH St, Gresham, OR 97030-7308.

What is the taxonomy code for Dr. Yatsushiro?

The primary taxonomy code is 1223E0200X – Endodontics; 2 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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