Provider Demographics
NPI:1821875675
Name:DAYNA L YIM AND ASSOCIATES, LLC
Entity Type:Organization
Organization Name:DAYNA L YIM AND ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAYNA
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:YIM
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:503-256-7940
Mailing Address - Street 1:4849 NE 138TH AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97230-3401
Mailing Address - Country:US
Mailing Address - Phone:503-256-7940
Mailing Address - Fax:503-256-7940
Practice Address - Street 1:4849 NE 138TH AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97230-3401
Practice Address - Country:US
Practice Address - Phone:503-256-7940
Practice Address - Fax:503-256-7940
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-13
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty