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Individual

MARVIN YOUNG JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
10580 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 806-0633
Mailing address
10580 SE WASHINGTON ST, PORTLAND, OR 97216-2809
(971) 806-0633

Taxonomy

Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
15-CRM-110
OR

Other

Enumeration date
11/23/2015
Last updated
11/23/2015
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