Individual
ERIC A YOUNGSTROM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
110 S 9TH AVE, YAKIMA, WA 98902-3315
(509) 573-3448
(509) 574-4481
Mailing address
732 SUMMITVIEW AVE, #621, YAKIMA, WA 98902-3032
(509) 573-3448
(509) 574-4481
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
4792
AK
207L00000X
Anesthesiology Physician
Primary
MD00015269
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1555101
—
WA
Enumeration date
06/24/2006
Last updated
02/18/2010
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