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General NPI Number Information
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NPI Number | 1942326038
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Entity Type | Individual
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Provider Name | JEROME YOMAN PH.D., ABBP
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Gender | Male
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/15/2024
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Provider Practice Location Address
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Address Line | 2373 NW 185TH AVENUE #644
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City | HILLSBORO
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State | OR
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Zip | 97124-7076
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Country | US
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Telephone | 503-488-0889
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Fax | 971-329-4770
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Provider Business Mailing Address
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Address Line | 2373 NW 185TH AVENUE #644
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City | HILLSBORO
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State | OR
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Zip | 97124-7076
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Country | US
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Telephone | 503-488-0889
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Fax | 971-329-4770
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY13841
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 1894
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License Number State | OR
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