Provider Demographics
NPI:1902022569
Name:YANDELL, LORI
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:
Last Name:YANDELL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 GREENWOOD RD S
Mailing Address - Street 2:
Mailing Address - City:INDEPENDENCE
Mailing Address - State:OR
Mailing Address - Zip Code:97351-9653
Mailing Address - Country:US
Mailing Address - Phone:503-838-6431
Mailing Address - Fax:503-838-6440
Practice Address - Street 1:460 GREENWOOD RD S
Practice Address - Street 2:
Practice Address - City:INDEPENDENCE
Practice Address - State:OR
Practice Address - Zip Code:97351-9653
Practice Address - Country:US
Practice Address - Phone:503-838-6431
Practice Address - Fax:503-838-6440
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor