Most Relevant Information
Provider Data
| NPI Number: | 1003538315 |
| Provider Name: | URIAH HEATH YRAGUEN |
| Entity Type: | Individual |
| Taxonomy Code: | 175T00000X |
| Specialty: | Peer Specialist |
| License Number: |
Most Important Dates
| Enumeration Date: | 09/13/2022 |
| Last Updated: | 09/13/2022 |
Provider Practice Location
621 W MADRONE ST
ROSEBURG
OR
974703090
Practice Location Phone/Fax
| Phone: | 5416722691 |
| Fax: | 8332998415 |
Provider Mailing Location
3081 NE JOHNSON ST
ROSEBURG
OR
974706244
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |