Individual
MRS. REBECCA LEE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12647 SW 62ND AVE, PORTLAND, OR 97219-7035
(503) 928-4777
Mailing address
12647 SW 62ND AVE, PORTLAND, OR 97219-7035
(503) 928-4777
(503) 928-4779
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC2227
OR
Other
Enumeration date
06/24/2010
Last updated
06/24/2010
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