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Individual

ASHLEIGH L YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
D.P.T.

Contact information

Practice address
632 CATTERLIN ST NE, SALEM, OR 97301-2743
(503) 378-7434
(503) 362-2703
Mailing address
16083 SW UPPER BOONES FERRY RD, SUITE 300, TIGARD, OR 97224-7736
(800) 219-8835
(503) 639-9699

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
06097
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0257600
WASHINGTON L&I
OR
05
500622899
OR
01
P01021704
RR MEDICARE
OR
Enumeration date
11/10/2009
Last updated
11/13/2012
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