Jeenah Yoo

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DE60409947 Issued in WA

Practice address

12596 SE Stark St BLDG N
Portland, OR 97233

Phone

(503) 252-9657

NPI assigned

Nov 24, 2013

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Emergency Tooth Doctor East, PC

  • General Practice Dentistry
  • Portland, OR
  • NPI 1629279674
  NPD (past)

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

{
    "created_epoch": "1385251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535673600000",
    "number": "1962832113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13209 NW FINDLEY ST",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972294553",
            "telephone_number": "503-860-3449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12596 SE STARK ST BLDG N",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97233",
            "telephone_number": "503-252-9657"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12616 Renton Ave S",
            "address_purpose": "LOCATION",
            "city": "Seattle",
            "state": "WA",
            "postal_code": "981783711",
            "country_code": "US",
            "telephone_number": "206-772-0163",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YOO",
        "first_name": "JEENAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-11-24",
        "last_updated": "2018-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "WA",
            "license": "DE60409947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Victoria Yonge, MD
• John Yonge III, M.D.
• Martin Yonn
• Elliot Woong-Joone Yoo, M.D.
• Ezy Hanbyul Yoo, N.P.
• Jung Uck Yoo, MD
• Alivia Miyon Yoon
• Dana B Yoon, DDS
• Hanna Yoon
• Jiha Yoon

• General Practice Dentistry in Portland, OR
• Providers in Portland, OR by specialty
• General Practice Dentistry in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2018; 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.