Provider Demographics
NPI:1205347440
Name:YURKISH, KEVIN (DC MS)
Entity type:Individual
Prefix:DR
First Name:KEVIN
Middle Name:
Last Name:YURKISH
Suffix:
Gender:M
Credentials:DC MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 N RUSSELL ST STE B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97227-1732
Mailing Address - Country:US
Mailing Address - Phone:971-208-5297
Mailing Address - Fax:971-533-2506
Practice Address - Street 1:818 N RUSSELL ST STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97227-1732
Practice Address - Country:US
Practice Address - Phone:971-208-5297
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-10-16
Last Update Date:2025-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR5853111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor