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Anda Karleen Balderrama Yangson

Family Medicine

Allopathic & Osteopathic Physicians

506 4th St, La Grande, OR 97850-1906

PECOS Enrollment

This provider is enrolled in PECOS as ANDA KARLEEN YANGSON.

Based on the most recent information from CMS, provider Anda Karleen Balderrama Yangson is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 2 days ago.

Profile Details

Provider ID
1629292404
Provider Type
Individual
Full Name
Yangson, Anda Karleen Balderrama
Credential
MD

Gender
Female
Sole Proprietor
No
Enumeration Date
4/12/2007
Last Updated
8/17/2009

Contact Information

Practice Location

506 4th St, La Grande, OR 97850-1906

(514) 663-3138

Unlisted Fax

Mailing Location

501 4th St, La Grande, OR 97850-1905

(541) 663-3138

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 207Q00000X Primary	Description Family Medicine Allopathic & Osteopathic Physicians	License MD28564 Oregon

Anda Karleen Balderrama Yangson

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Tishman, Bradley Jack

Schoenfelder, Ellen K

Tracy, Tracey Kathleen

Thomas, Larissa Ann

Schaefer, John E

Grande Ronde Hospital Inc

Kim R. Montee, M.D., P.C.

Hansen, Mckenzie

Conklin, Bryan Richard

Michael H. Mcqueen M.D P.C