Provider Demographics
NPI:1518125012
Name:YODER, ORLIN HAROLD (RN)
Entity Type:Individual
Prefix:MR
First Name:ORLIN
Middle Name:HAROLD
Last Name:YODER
Suffix:
Gender:M
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 SW VERMONT ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97219-1041
Mailing Address - Country:US
Mailing Address - Phone:503-504-3005
Mailing Address - Fax:
Practice Address - Street 1:11000 SW BARBUR BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97219-8691
Practice Address - Country:US
Practice Address - Phone:503-452-7979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-05-30
Last Update Date:2008-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR076036012RN163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse