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Nicole Yeats, EFDA — NPI 1235672049, Portland, OR | NPI Central

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Nicole Yeats, EFDA

NPI 1235672049 · Dental Assistant · Portland, OR

Provider details

NPI number: 1235672049
Entity type: Individual
Primary specialty: Dental AssistantDental Providers
Credential: EFDA
Sex: Female
Sole proprietor: No
License: 113515 (OR)

Specialties & taxonomies

Dental AssistantPrimary126800000XLicense 113515 (OR)
Dental Providers

Practice location

5025 Se 28th Ave

Portland, OR 97202-4445

Phone: (503) 238-4418

Approximate (ZIP-level) locationGet directions

More OR providers

Mailing address

5025 Se 28th Ave

Portland, OR 97202-4445

Registry dates

Enumerated: 2016-11-28
Last updated: 2016-11-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.