Individual
JONATHAN DAVIS YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1030 NW MARSHALL ST, PORTLAND, OR 97209-2988
(503) 227-2279
Mailing address
11213 NE RUSSELL ST, PORTLAND, OR 97220-1881
(602) 632-5470
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
28814
OR
Other
Enumeration date
09/12/2025
Last updated
09/12/2025
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