Provider Demographics
NPI:1346562022
Name:YEO, VALERIE KAI TENG (PSYD)
Entity Type:Individual
Prefix:DR
First Name:VALERIE
Middle Name:KAI TENG
Last Name:YEO
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1327 SE TACOMA ST
Mailing Address - Street 2:#197
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97202-6639
Mailing Address - Country:US
Mailing Address - Phone:503-974-4307
Mailing Address - Fax:458-201-4953
Practice Address - Street 1:2029 SE JEFFERSON ST
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97222-7605
Practice Address - Country:US
Practice Address - Phone:503-974-4307
Practice Address - Fax:458-201-4953
Is Sole Proprietor?:No
Enumeration Date:2010-02-22
Last Update Date:2017-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR2700103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical