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Individual

DONELLA S. YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
100 3RD ST, SUITE 1, DAVENPORT, WA 99122-9730
(509) 725-7501
(509) 725-7504
Mailing address
100 3RD ST, SUITE 1, DAVENPORT, WA 99122-9730
(509) 725-7501
(509) 725-7504

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD00026777
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080187185
MEDICARE RAILROAD
WA
01
154736
DEPT. OF L & I
WA
05
7101132
WA
05
7117450
WA
05
8154353
WA
01
CJ6525
MEDICARE RAILROAD
WA
Enumeration date
06/09/2006
Last updated
03/07/2023
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