Individual provider Active NPI

Marilyn Louise Yodlowski, M.D.

  • Orthopaedic Surgery Physician
  • Lake Oswego, OR
National Provider Identifier
1124290820
Registry record updated Apr 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
MD23432 Issued in OR
Practice address
16001 Quarry Rd
Lake Oswego, OR 97035-3359
Phone
(503) 635-1604
Fax
(503) 635-6659
NPI assigned
Apr 2, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD23432 OR Primary

Addresses

Primary practice location

16001 Quarry Rd
Lake Oswego, OR 97035-3359

Mailing address

16001 Quarry Rd
Lake Oswego, OR 97035-3359
Phone (503) 635-1604

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD23432ORMDOrthopaedic Surgery Physician

NPI Registry JSON

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

{
    "created_epoch": "1207094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1124290820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 QUARRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353359",
            "telephone_number": "503-635-1604",
            "fax_number": "503-635-6659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 QUARRY RD",
            "city": "LAKE OSWEGO",
            "state": "OR",
            "postal_code": "970353359",
            "telephone_number": "503-635-1604",
            "fax_number": "503-635-6659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YODLOWSKI",
        "first_name": "MARILYN",
        "middle_name": "LOUISE",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-02",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "OR",
            "license": "MD23432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Oswego, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.