Individual
LINDA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
140 SOUTH HOLLY STREET, MEDFORD, OR 97501
(541) 774-8200
(541) 774-7964
Mailing address
3857 MARTIN WAY E, OLYMPIA, WA 98506-5268
(360) 704-7170
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
C-7772
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
125671001
—
AR
01
—
260020819
RAILROAD MEDICARE
AR
01
—
52902
BCBS
AR
01
—
C7772
TRICARE
AR
Enumeration date
10/12/2006
Last updated
07/06/2016
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