Provider Demographics
NPI:1740383710
Name:YAO, FLORA (MD)
Entity Type:Individual
Prefix:
First Name:FLORA
Middle Name:
Last Name:YAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38829 N. MAIN ST.
Mailing Address - Street 2:P.O.BOX 343
Mailing Address - City:SCIO
Mailing Address - State:OR
Mailing Address - Zip Code:97374-0343
Mailing Address - Country:US
Mailing Address - Phone:541-971-7661
Mailing Address - Fax:
Practice Address - Street 1:38829 N. MAIN ST.
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:OR
Practice Address - Zip Code:97374-0343
Practice Address - Country:US
Practice Address - Phone:541-971-7661
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-06
Last Update Date:2011-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88511207Q00000X
ORMD151908207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAWA88511AMedicare PIN