Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jon Derek Yatsushiro, DDS

Individual provider Endodontics · NPI 1265505408

Jon Derek Yatsushiro, DDS is an Endodontics in Gresham, Oregon. Licensed in California, Hawaii and Oregon. Registered with an NPI since 2006.

Licensed in
CA, HI, OR
In the registry since
2006
Specialties on file
3
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

See every abbreviation used in this directory →

Practice location Address checks out

320 NE 5th St
Gresham, OR 97030-7308
Phone: (503) 665-0495
Fax: (503) 674-9196
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Endodontics (primary) Taxonomy 1223E0200X · Licence D7505 (OR)
Endodontics Taxonomy 1223E0200X · Licence 1571 (HI)
Endodontics Taxonomy 1223E0200X · Licence 35662 (CA)

Record details

NPI number1265505408
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 16, 2006
Last updated in NPPESAugust 3, 2016
Mailing address320 Ne 5th St, Gresham, OR 97030-7308

Other providers in Gresham