Provider Demographics
NPI:1154378974
Name:YU, JULIE S (MD)
Entity type:Individual
Prefix:DR
First Name:JULIE
Middle Name:S
Last Name:YU
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:9735 SW SHADY LANE
Mailing Address - Street 2:SUITE 203
Mailing Address - City:TIGARD
Mailing Address - State:OR
Mailing Address - Zip Code:97223
Mailing Address - Country:US
Mailing Address - Phone:503-635-4436
Mailing Address - Fax:503-635-7356
Practice Address - Street 1:9735 SW SHADY LANE
Practice Address - Street 2:SUITE 2013
Practice Address - City:TIGARD
Practice Address - State:OR
Practice Address - Zip Code:97223
Practice Address - Country:US
Practice Address - Phone:503-635-4436
Practice Address - Fax:503-635-7356
Is Sole Proprietor?:No
Enumeration Date:2006-05-27
Last Update Date:2014-07-30
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Provider Licenses
StateLicense IDTaxonomies
ORMD24269207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OR181579Medicaid
OR181579Medicaid
ORH01979Medicare UPIN