Yeske, Mark L

Yeske, Mark L is an individual health care provider with primary practice located at 714 Sw Dorion Ave , Pendleton OR 97801-2039. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is his primary health care specialty. Yeske, Mark L can be contacted via phone (541) 276-2372.

Contact Information

Primary practice address
714 Sw Dorion Ave Pendleton OR 97801-2039
Phone: (541) 276-2372
Fax: (541) 276-2411
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DP00171 Oregon
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DP00171 Oregon

Profile Details

NPI number 1366400517
LBN Legal business name Yeske, Mark L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Aug 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1366400517 NPPES
Oregon Other 48431001 BLUE CROSS OF OREGON
Oregon MEDICAID 162099 BLUE CROSS OF OREGON
Oregon Other 480033064 BLUE CROSS OF OREGON

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