Individual
MR. JASON MATTHEW YOUNKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CMT
Contact information
Practice address
2122 NW QUIMBY ST, PORTLAND, OR 97210-2622
(503) 292-7668
Mailing address
1411 NW QUIMBY ST APT 508, PORTLAND, OR 97209-4093
(847) 404-8062
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25428
OR
Other
Enumeration date
03/03/2020
Last updated
03/03/2020
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