Basic Information
| Provider Information | |||||||||
| NPI: | 1417983628 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | YEO | ||||||||
| FirstName: | ALAN | ||||||||
| MiddleName: | S. | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D., MPH | ||||||||
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| Mailing Information | |||||||||
| Address1: | 6400 SE LAKE RD | ||||||||
| Address2: | STE 325 | ||||||||
| City: | MILWAUKIE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972222185 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5037861711 | ||||||||
| FaxNumber: | 5037869919 | ||||||||
| Practice Location | |||||||||
| Address1: | 6400 SE LAKE RD | ||||||||
| Address2: | STE 325 | ||||||||
| City: | MILWAUKIE | ||||||||
| State: | OR | ||||||||
| PostalCode: | 972222185 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5417685144 | ||||||||
| FaxNumber: | 5417685201 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2006 | ||||||||
| LastUpdateDate: | 08/08/2016 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | X | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2084P0800X | MD23741 | OR | Y | Allopathic & Osteopathic Physicians | Psychiatry & Neurology | Psychiatry |
No ID Information.