Individual
DR. MATTHEW JOHN YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
930 NW 14TH AVE STE 220, PORTLAND, OR 97209-2730
(503) 889-8632
Mailing address
930 NW 14TH AVE STE 220, PORTLAND, OR 97209-2730
(038) 898-6325
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D9908
OR
Other
Enumeration date
10/02/2013
Last updated
09/15/2020
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