Laurel B. Yocom, M.D.

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

MD 15390 Issued in OR

Practice address

1348 NE Cushing Dr
Suite 200
Bend, OR 97701-3876

Phone

(541) 382-7696

NPI assigned

Dec 1, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Central Oregon Regional Pathology Services, LLC

  • Clinical Medical Laboratory
  • Bend, OR
  • NPI 1649392366
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1133395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1023092152",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1348 NE CUSHING DR",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013876",
            "telephone_number": "541-382-7696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 NE CUSHING DR",
            "address_2": "SUITE 200",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013876",
            "telephone_number": "541-382-7696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YOCOM",
        "first_name": "LAUREL",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-01",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "OR",
            "license": "MD 15390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "053843",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Diane Wong Yamamoto, PHARM.D.
• Maia Joy Yamasaki, LPC
• Elizabeth Grace Yarnal
• Robert Shih Yee, M.D.
• Stephanie C Yenne, MCOUN
• Emily Ann Yoder
• Kathryn Yokoyama
• Peter M Yonan, D.M.D
• Hannah Yorra, P.T.
• Jordan Yost, LPC, ACS, NCC, PMH-C

• Anatomic Pathology & Clinical Pathology Physician in Bend, OR
• Providers in Bend, OR by specialty
• Anatomic Pathology & Clinical Pathology Physician in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.