Provider Demographics
NPI:1376784736
Name:YELK, DAWN L (LCSW)
Entity Type:Individual
Prefix:
First Name:DAWN
Middle Name:L
Last Name:YELK
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4000 NE RIVERSIDE LOOP
Mailing Address - Street 2:
Mailing Address - City:MCMINNVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97128-8431
Mailing Address - Country:US
Mailing Address - Phone:971-241-9079
Mailing Address - Fax:503-472-6955
Practice Address - Street 1:4000 NE RIVERSIDE LOOP
Practice Address - Street 2:
Practice Address - City:MCMINNVILLE
Practice Address - State:OR
Practice Address - Zip Code:97128-8431
Practice Address - Country:US
Practice Address - Phone:971-241-9079
Practice Address - Fax:503-472-6955
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-16
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORL41661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical