Healthcare Provider Details

I. General information

NPI: 1881631745
Provider Name (Legal Business Name): GRACE E YUH M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 SE STRATUS AVE STE A
MCMINNVILLE OR
97128-6258
US

IV. Provider business mailing address

PO BOX 391
SALEM OR
97308-0391
US

V. Phone/Fax

Practice location:
  • Phone: 503-435-6593
  • Fax: 503-435-4543
Mailing address:
  • Phone: 503-814-1398
  • Fax: 503-814-1402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberRHD149681
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code2085R0001X
TaxonomyRadiation Oncology Physician
License NumberMD183625
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: