Healthcare Provider Details

I. General information

NPI: 1457691727
Provider Name (Legal Business Name): CHRISTIAN YEE RPH
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2013
Last Update Date: 02/25/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11565 SW PACIFIC HWY
TIGARD OR
97223-8845
US

IV. Provider business mailing address

11565 SW PACIFIC HWY
TIGARD OR
97223-8845
US

V. Phone/Fax

Practice location:
  • Phone: 503-293-7085
  • Fax: 503-293-7078
Mailing address:
  • Phone: 503-293-7085
  • Fax: 503-293-7078

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License Number10141
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: