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Contact Information

JERRY YALE JR
1175 MOUNT HOOD AVE
WOODBURN, OR97071-9060
 Phone: 503-982-2000
 Fax: 503-982-0660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Hospice and Palliative Medicine

207QH0002X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for JERRY YALE JR · (Male)

NPI # 1669586442
Status Active
Credentials
Entity Individual
Enumeration date 08/18/2006
Last updated 05/19/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers
  • NC License # 2007-01061
  • OR License # MD167386
  • TN License # 66396
Hospital affiliation(s)
  • SALEM HOSPITAL - (Acute Care)
    890 OAK STREET, SE
    SALEM, OR 97301
  • SILVERTON HOSPITAL - (Acute Care)
    342 FAIRVIEW STREET
    SILVERTON, OR 97381
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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