Individual
STEFAN YOUNGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5601 SE 122ND AVE, PORTLAND, OR 97236-4601
(503) 761-3181
Mailing address
8827 NE GOING ST, PORTLAND, OR 97220-4821
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Enumeration date
07/03/2017
Last updated
07/03/2017
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