YC SBHC


Address: 120 Larch Pl, Yamhill, OR 97148-2007
Phone: 5038526960

YC SBHC (NPI# 1801255328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1801255328
Entity Type Organization
Organization Name YC SBHC
Practice Address 120 Larch Pl
Yamhill
OR 97148-2007
Mailing Address Po Box 544
Yamhill
OR 97148-0544
Practice Telephone 5038526960
Enumeration Date 2016-02-11
Last Update Date 2016-02-11
Authorized Official Name DR. MICHAEL P JACZKO (MEDICAL DIRECTOR)
Authorized Official Telephone 5038526960
Authorized Official Credential DO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363LP2300X Nurse Practitioner
Specialization: Primary Care
201250196NP OR Physician Assistants & Advanced Practice Nursing Providers

Other Provider Identifier

State Issuer Identifier Type Code
NPI 1487647954 01
OR 500652931 05

Other Data Sources

Entity Type Entity Name Entity Address
Oregon Corporations, Companies and Business Names YC SBHC 120 N Larch Pl, Yamhill, OR 97148

Office Location

Street Address 120 LARCH PL
City YAMHILL
State OR
Zip Code 97148-2007

Providers in the same location

NPI Name Taxonomy Address Enumeration
1629332333 Verdura Family Wellness, Inc Clinic/Center 120 Larch Pl, Yamhill, OR 97148-2007 2012-06-27

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1588095707 Julie Belt Massage Therapist 150 S. Maple, Yamhill, OR 97148 2013-12-13
1487704219 Yamhill Carlton School District Local Education Agency (LEA) 120 N. Larch Place, Yamhill, OR 97148 2007-01-12
1124390430 April Baker Physical Therapist 110 South Maple Street, Yamhill, OR 97148-0203 2012-02-01
1922436880 Nathan Garrettson Acupuncturist 150 S Maple St, Yamhill, OR 97148-2011 2013-10-30
1235577545 Dietrich J Shaw Counselor 105 W 2nd St, #u, Yamhill, OR 97148-2204 2013-06-08
1861041493 Kelie Michelle Coxen Doula 7865 Nw Moores Valley Rd, Yamhill, OR 97148-8007 2019-09-06
1093184905 Sarah Snyder Registered Nurse 17006 Nw Oak Ridge Rd, Yamhill, OR 97148-8119 2015-09-21
1528407434 Roberta Ann Fort Physical Therapist 8881 Nw Pike Rd, Yamhill, OR 97148-8208 2013-06-24
1205139987 Albert Xthona Technician, Other 5200 Nw Mcloughlin Dr, Yamhill, OR 97148-8353 2010-12-17
1235685736 Megan Rose Heuberger Speech-Language Pathologist 255 S Cedar St, Yamhill, OR 97148-8621 2016-08-25
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Taxonomy Information

Taxonomy Code 363LP2300X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Nurse Practitioner
Specialization Primary Care

Taxonomy Definition

Definition to come...

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1245611771 Karen Musick Nurse Practitioner 3514 Nw Mckinley Dr, Corvallis, OR 97330-1148 2015-06-10
1184054546 Nancy M Burgess Rn Msn Anp-c PC Nurse Practitioner 910 Sw Highway 97 Ste 104, Madras, OR 97741-9247 2013-11-22
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1295998920 Paula Jo Cramer Nurse Practitioner 790 S Main St Myrtle, Creek, Ore, Myrtle Creek, OR 97457 2008-07-02
1780855601 Leslie West Nurse Practitioner 51730 Dexter St., Blue River, OR 97413-0183 2008-03-19
1548399322 Corporate Health Nw Nurse Practitioner 10209 Se Division St, Portland, OR 97266-1327 2007-03-05
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Competitor

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City YAMHILL
Zip Code 97148

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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