Individual
JAMES MATHIAS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
1830 BLANKENSHIP RD STE 200, WEST LINN, OR 97068-4179
(503) 655-3851
(503) 655-3318
Mailing address
1830 BLANKENSHIP RD STE 200, WEST LINN, OR 97068-4179
(503) 658-3851
(503) 655-3318
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
000034417RN
OR
367500000X
Certified Registered Nurse Anesthetist
Primary
000034417CRNA
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
213876
—
OR
Enumeration date
07/18/2006
Last updated
10/20/2008
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