MEDICARE: ANDREW LEE YODER MSW

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	1041C0700X	Clinical Social Worker	L7043	OR

General Provider Information

NPI Number	:	1497067284
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREW LEE YODER MSW

Provider Business Mailing Address
First Line	:	1160 W 15TH AVE
Second Line	:	APT. L1
City	:	EUGENE
State	:	OR
Zip	:	97402-3982
Country	:	US
Telephone Number	:	541-221-9822
Fax Number	:

Provider Business Practice Location Address
First Line	:	1345 BIRCH AVE
Second Line	:
City	:	COTTAGE GROVE
State	:	OR
Zip	:	97424-1416
Country	:	US
Telephone Number	:	541-942-3939
Fax Number	:	541-942-9310

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

Provider Enumeration Date	:	07/08/2010
Last Update Date	:	06/09/2026

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