YC SBHC
NPI 1801255328
Nurse Practitioner - Primary Care in Yamhill, OR

Active since February 11, 2016
120 LARCH PL, YAMHILL, OR 97148(503) 852-6960 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Yc Sbhc NPPES

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

YC SBHC (NPI 1801255328) is a healthcare organization registered as a primary care in Yamhill, Oregon and active in the NPI registry since February 2016. The organization lists Michael P Jaczko, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1801255328
Entity TypeOrganization
Primary Taxonomy363LP2300X
Legal Business NameYC SBHC
Location Address120 LARCH PLYamhill, OR 97148-2007
Mailing AddressPo Box 544Yamhill, OR 97148-0544
Organization SubpartNo
Authorized OfficialMichael P JaczkoMedical Director · (503) 852-6960
Enumeration DateFebruary 11, 2016
NPI 1801255328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License Licensed in OR · 201250196NP
120 LARCH PL, Yamhill, OR 97148

Other Identifiers 2

Other1487647954Npi
Medicaid500652931OR

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Clinic/Center (Student Health)
120 LARCH PL
YAMHILL, OR 97148

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 Yc Sbhc's NPI number?

The NPI number for Yc Sbhc is 1801255328. It was assigned to this organization in the NPPES registry on February 11, 2016.

Where is Yc Sbhc located?

Yc Sbhc is located at 120 Larch Pl, Yamhill, OR 97148. The listed phone number is (503) 852-6960.

What is Yc Sbhc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

When was this NPI record last updated?

The NPPES record for Yc Sbhc was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.