Provider Demographics
NPI:1891095402
Name:YORO, DEBBIE A (LCSW)
Entity Type:Individual
Prefix:
First Name:DEBBIE
Middle Name:A
Last Name:YORO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:DEBBIE
Other - Middle Name:A
Other - Last Name:YARA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:12155 SW FAIRCREST ST
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97225-4619
Mailing Address - Country:US
Mailing Address - Phone:206-854-7896
Mailing Address - Fax:503-413-3710
Practice Address - Street 1:9900 SW WILSHIRE ST STE 190
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97225-5065
Practice Address - Country:US
Practice Address - Phone:971-350-9852
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-29
Last Update Date:2020-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW601258871041C0700X
WA1041C0700X1041C0700X
ORL72761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1891095402Medicaid