IndividualActive
Jerry Yoon, DPM
NPI 1871585802 · Podiatrist · Lake Oswego, OR
Provider details
- NPI number
- 1871585802
- Entity type
- Individual
- Primary specialty
- PodiatristPodiatric Medicine & Surgery Service Providers
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- Yes
- License
- DP00338 (OR)
Specialties & taxonomies
Podiatric Medicine & Surgery Service Providers
Practice location
4000 Kruse Way Pl Ste 220
Bldg 2
Lake Oswego, OR 97035-5545
Phone: (503) 636-9656
Fax: (503) 636-9657
Approximate (ZIP-level) locationGet directions
Mailing address
4000 Kruse Way Pl Ste 220
Lake Oswego, OR 97035-5545
Registry dates
- Enumerated
- 2005-08-16
- Last updated
- 2022-08-02
- Certified
- 2022-08-02
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.