Jon Derek Yatsushiro, DDS - Dentist in Gresham, OR

Jon Derek Yatsushiro, DDS is a Dentist - Endodontics based in Gresham, Oregon. Jon Derek Yatsushiro is licensed to practice in Oregon (license number D7505) and his current practice location is 320 Ne 5th St, Gresham, Oregon. He can be reached at his office (for appointments etc.) via phone at (503) 665-0495.

NPI number for Jon Derek Yatsushiro is 1265505408 and his current mailing address is 320 Ne 5th St, Gresham, Oregon. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1265505408.

Contact Information

Jon Derek Yatsushiro, DDS
320 Ne 5th St,
Gresham, OR 97030-7308
(503) 665-0495
(503) 674-9196

Map and Direction




Healthcare Provider's Profile

Full NameJon Derek Yatsushiro
GenderMale
SpecialityDentist - Endodontics
Location320 Ne 5th St, Gresham, Oregon
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1265505408
  • Provider Enumeration Date: 11/16/2006
  • Last Update Date: 08/03/2016

Medical Identifiers

Medical identifiers for Jon Derek Yatsushiro such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1265505408NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics D7505 (Oregon)Primary
1223E0200XDentist - Endodontics 1571 (Hawaii)Secondary
1223E0200XDentist - Endodontics 35662 (California)Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jon Derek Yatsushiro is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jon Derek Yatsushiro, DDS
320 Ne 5th St,
Gresham, OR 97030-7308

Ph: (503) 665-0495
Jon Derek Yatsushiro, DDS
320 Ne 5th St,
Gresham, OR 97030-7308

Ph: (503) 665-0495

Reviews and Comments


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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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