Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JON DEREK YATSUSHIRO, D.D.S.
ActiveJON DEREK YATSUSHIRO, D.D.S. is a Endodontics healthcare provider located in GRESHAM, Oregon. NPI 1265505408 is currently active in the NPPES registry. Verify at CMS.
Endodontics · GRESHAM, OR
Registration Details
- NPI Number
- 1265505408
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 16, 2006 (19.70556077083 yrs)
- Last Updated
- Aug 3, 2016
- Licenses
-
D7505 (OR)1571 (HI)35662 (CA)
Practice Information
- Address
-
320 NE 5TH STGRESHAM, OR, 970307308Browse OR providers · Browse ZIP 97030
- Phone
- 5036650495
- Fax
- 5036749196
- Primary Specialty
-
Endodontics
1223E0200X
- Additional Specialty
- Endodontics
- Additional Specialty
- Endodontics
Other Endodontics Providers in GRESHAM, OR
| Name | Credential | NPI |
|---|---|---|
| DR. MARK D. DANIELSON | DDS | 1932296761 |
| DR. DALE RONALD BARKER | DDS | 1861561508 |
| DR. TY BRADLEY VAUGHAN | D.D.S. | 1558526368 |
| KATHERINE MCKITRICK | DMD | 1841529179 |
| LUKE NOBLE | DDS | 1962899286 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.