Provider Demographics
NPI:1457309528
Name:YODER, JANET E (LAC)
Entity Type:Individual
Prefix:MS
First Name:JANET
Middle Name:E
Last Name:YODER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 E FOURTH PLAIN BLVD
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-3074
Mailing Address - Country:US
Mailing Address - Phone:360-696-4480
Mailing Address - Fax:360-696-8836
Practice Address - Street 1:316 E FOURTH PLAIN BLVD
Practice Address - Street 2:STE 4A
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-3074
Practice Address - Country:US
Practice Address - Phone:360-696-4480
Practice Address - Fax:360-696-8836
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2008-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA0396171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist