Provider Demographics
NPI:1811880271
Name:ALEKSANDR YANCHUK DMD LLC
Entity type:Organization
Organization Name:ALEKSANDR YANCHUK DMD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DENTIST/ OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ALEKSANDR
Authorized Official - Middle Name:
Authorized Official - Last Name:YANCHUK
Authorized Official - Suffix:
Authorized Official - Credentials:DMD
Authorized Official - Phone:503-875-3426
Mailing Address - Street 1:12057 SW LAUSANNE ST
Mailing Address - Street 2:
Mailing Address - City:WILSONVILLE
Mailing Address - State:OR
Mailing Address - Zip Code:97070-7381
Mailing Address - Country:US
Mailing Address - Phone:503-875-3426
Mailing Address - Fax:
Practice Address - Street 1:16400 SW HART RD STE A
Practice Address - Street 2:
Practice Address - City:BEAVERTON
Practice Address - State:OR
Practice Address - Zip Code:97007-3457
Practice Address - Country:US
Practice Address - Phone:503-649-7701
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental