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Individual
TERENCE H YOUNG
Active
Individual
TERENCE H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
MD11603
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000172000
REGENCE BLUE CROSS INS
OR
01
—
C94141000001
PROVIDENCE INS
OR
01
—
OR2204
HEALTH NET INS
OR
01
—
P00209118
RAILROAD MEDICARE
OR
Enumeration date
01/23/2007
Last updated
07/12/2023
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