Healthcare Provider Details

I. General information

NPI: 1235488651
Provider Name (Legal Business Name): CLAIRE M YOSHIDA ACNS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/30/2012
Last Update Date: 01/31/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3181 SW SAM JACKSON PARK RD # L-586
PORTLAND OR
97239-3011
US

IV. Provider business mailing address

1650 SE TACOMA ST # 205
PORTLAND OR
97202-6711
US

V. Phone/Fax

Practice location:
  • Phone: 503-494-8607
  • Fax:
Mailing address:
  • Phone: 808-271-5518
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberRX 467
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code364SA2200X
TaxonomyAdult Health Clinical Nurse Specialist
License NumberAPRN 1495
License Number StateHI
# 3
Primary TaxonomyY
Taxonomy Code364S00000X
TaxonomyClinical Nurse Specialist
License Number201710468CNS-PP
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: