| Doctor Name: | YVETTE M GAYNOR |
| NPI Number: | 1588721237 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | NP |
| License Number: | 200550094 FNP PP |
| Business Practice Address: | 630 N Arrowleaf Trl Sisters, OR - 977592610 |
| Business Phone Number: | 5415491318 |
| Business Fax Number: | 5415886002 |
| Mailing Address: | Po Box 5579, BEND |
| State: | OR |
| Postal Code: | 977085579 |
| Phone Number: | 5415491318 |
| Fax Number: | 5415886002 |
| NPI Enumeration Date: | 01/02/2007 |
| NPI Last Update Date: | 09/05/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 200550094 FNP PP |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OR |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |