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NPI Code Detail

MEDICARE: JUSTIN MICHAEL YARGER

MEDICARE: JUSTIN MICHAEL YARGER
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
1101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1881321552
Entity Type Code : Individual
Provider Name (Legal Business Name) : JUSTIN MICHAEL YARGER
Provider Business Mailing Address
First Line : 1010 5TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2444
Country : US
Telephone Number : 503-594-4750
Fax Number : 971-888-4607
Provider Business Practice Location Address
First Line : 1010 5TH ST
Second Line :
City : OREGON CITY
State : OR
Zip : 97045-2444
Country : US
Telephone Number : 503-594-4750
Fax Number : 971-888-4607
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/03/2022
Last Update Date : 11/12/2025

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