Healthcare Provider Details

I. General information

NPI: 1669780508
Provider Name (Legal Business Name): YAMHILL COUNTY HHS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2010
Last Update Date: 06/25/2025
Certification Date: 06/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 NE KIRBY ST
MCMINNVILLE OR
97128-4301
US

IV. Provider business mailing address

412 NE FORD ST
MCMINNVILLE OR
97128-4608
US

V. Phone/Fax

Practice location:
  • Phone: 503-434-7525
  • Fax:
Mailing address:
  • Phone: 503-434-7525
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code122300000X
TaxonomyDentist
License Number
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code124Q00000X
TaxonomyDental Hygienist
License Number
License Number StateOR

VIII. Authorized Official

Name: LINDSEY MANFRIN
Title or Position: YCHHS DIRECTOR
Credential:
Phone: 503-434-7523