Provider Demographics
NPI:1679299226
Name:CAN RAMIREZ, YABILEX
Entity type:Individual
Prefix:
First Name:YABILEX
Middle Name:
Last Name:CAN RAMIREZ
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 1:2898 S MAGNOLIA DR
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:OR
Mailing Address - Zip Code:97113-7140
Mailing Address - Country:US
Mailing Address - Phone:503-443-9397
Mailing Address - Fax:
Practice Address - Street 1:2898 S MAGNOLIA DR
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:OR
Practice Address - Zip Code:97113-7140
Practice Address - Country:US
Practice Address - Phone:503-443-9397
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-17
Last Update Date:2023-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
Yes124Q00000XDental ProvidersDental Hygienist