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JON DEREK YATSUSHIRO D.D.S.
NPI 1265505408
Dentist - Endodontics in Gresham, OR

Active since November 16, 2006
320 NE 5TH ST, GRESHAM, OR 97030(503) 665-0495(503) 674-9196 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jon Derek Yatsushiro D.d.s. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JON DEREK YATSUSHIRO D.D.S. (NPI 1265505408) is an individual endodontics provider in Gresham, Oregon, licensed in Oregon (D7505) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1265505408
Entity TypeIndividualMale
Primary Taxonomy1223E0200X
Provider Legal NameJON DEREK YATSUSHIROCredential: D.D.S.
Location Address320 NE 5TH STGresham, OR 97030-7308
Mailing Address320 Ne 5th StGresham, OR 97030-7308 · (503) 665-0495 · Fax (503) 674-9196
Phone(503) 665-0495
Fax(503) 674-9196
Sole ProprietorNo
Enumeration DateNovember 16, 2006
Last NPPES UpdateAugust 3, 2016
✔ NPI 1265505408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers
Taxonomy Code1223E0200X
Licenses✔ Licensed in OR · D7505✔ Licensed in HI · 1571✔ Licensed in CA · 35662
Definition
The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
320 NE 5TH ST, Gresham, OR 97030
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. TY BRADLEY VAUGHAN D.D.S.
Dentist (Endodontics)
320 NE 5TH ST
GRESHAM, OR 97030
Multnomah County (503) 665-0495
GRESHAM DOWNTOWN DENTAL GROUP, P.C.
Dentist (General Practice)
320 NE 5TH ST
GRESHAM, OR 97030
Multnomah County (503) 666-5484
TRENT M WESTOVER DMD
Dentist
320 NE 5TH ST
GRESHAM, OR 97030
Multnomah County (503) 666-5484
DR. GARY ALAN WHITE DMD
Dentist (General Practice)
320 NE 5TH ST
GRESHAM, OR 97030
Multnomah County (503) 666-5484
GARY L FISHER DMD
Dentist
320 NE 5TH ST
GRESHAM, OR 97030
Multnomah County (503) 666-5484
LUKE NOBLE DDS
Dentist (Endodontics)
320 NE 5TH ST
GRESHAM, OR 97030
Multnomah County (503) 665-0495

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jon Yatsushiro's NPI number?

The NPI number for Jon Yatsushiro is 1265505408. It was assigned to this individual provider in the NPPES registry on November 16, 2006.

Where is Jon Yatsushiro located?

Jon Yatsushiro practices at 320 NE 5th St, Gresham, OR 97030. The listed phone number is (503) 665-0495.

What is Jon Yatsushiro's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

What insurance does Jon Yatsushiro accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas list Jon Yatsushiro as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jon Yatsushiro was last updated on August 3, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.