Basic Information
| Provider Information | |||||||||
| NPI: | 1871996710 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | YAMHILL COUNTY HEALTH AND HUMAN SERVICES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 627 NE EVANS ST. | ||||||||
| Address2: | |||||||||
| City: | MCMINNILLE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034347523 | ||||||||
| FaxNumber: | 5034349846 | ||||||||
| Practice Location | |||||||||
| Address1: | 627 NE EVANS ST. | ||||||||
| Address2: | |||||||||
| City: | MCMINNILLE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 97128 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5034347523 | ||||||||
| FaxNumber: | 5034349846 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/07/2014 | ||||||||
| LastUpdateDate: | 10/07/2014 | ||||||||
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| AuthorizedOfficialLastName: | BARRAGAN | ||||||||
| AuthorizedOfficialFirstName: | NEREIDA | ||||||||
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| AuthorizedOfficialTitleorPosition: | CERTIFIED MEDICAL ASSISTANT | ||||||||
| AuthorizedOfficialTelephone: | 5034347523 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | CMA | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 313M00000X | 201211891CNA | OR | N | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility | 313M00000X | ASSISTANT (CCMA) 092 | OR | Y | Nursing & Custodial Care Facilities | Nursing Facility/Intermediate Care Facility |
No ID Information.