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NPI Code Detail

MEDICARE: YARA L DELGADO MD

MEDICARE: YARA L DELGADO MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician40801CO
2207Q00000XFamily Medicine PhysicianMD27541OR

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1942286596
Entity Type Code : Individual
Provider Name (Legal Business Name) : YARA L DELGADO MD
Provider Business Mailing Address
First Line : 500 NE MULTNOMAH ST FL 11
Second Line :
City : PORTLAND
State : OR
Zip : 97232-2023
Country : US
Telephone Number : 800-813-2000
Fax Number :
Provider Business Practice Location Address
First Line : 2400 LANCASTER DR NE
Second Line :
City : SALEM
State : OR
Zip : 97305-1221
Country : US
Telephone Number : 800-813-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2005
Last Update Date : 06/23/2025

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