MEDICARE: GERALD N YORIOKA M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD00015464	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1336190990
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	GERALD N YORIOKA M.D.

Provider Business Mailing Address
First Line	:	PO BOX 969
Second Line	:
City	:	SNOQUALMIE
State	:	WA
Zip	:	98065-0969
Country	:	US
Telephone Number	:	425-831-2100
Fax Number	:	425-831-2145

Provider Business Practice Location Address
First Line	:	404 MAIN AVE S
Second Line	:
City	:	NORTH BEND
State	:	WA
Zip	:	98045-8215
Country	:	US
Telephone Number	:	425-888-5511
Fax Number	:	425-888-5513

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/16/2006
Last Update Date	:	10/22/2010

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