Provider Demographics
NPI:1871996710
Name:YAMHILL COUNTY HEALTH AND HUMAN SERVICES
Entity type:Organization
Organization Name:YAMHILL COUNTY HEALTH AND HUMAN SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED MEDICAL ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:NEREIDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARRAGAN
Authorized Official - Suffix:
Authorized Official - Credentials:CMA
Authorized Official - Phone:503-434-7523
Mailing Address - Street 1:627 NE EVANS ST.
Mailing Address - Street 2:
Mailing Address - City:MCMINNILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128
Mailing Address - Country:US
Mailing Address - Phone:503-434-7523
Mailing Address - Fax:503-434-9846
Practice Address - Street 1:627 NE EVANS ST.
Practice Address - Street 2:
Practice Address - City:MCMINNILLE
Practice Address - State:OR
Practice Address - Zip Code:97128
Practice Address - Country:US
Practice Address - Phone:503-434-7523
Practice Address - Fax:503-434-9846
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORASSISTANT (CCMA) 092313M00000X
OR201211891CNA313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility