Individual
MS. CORRINE MARY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., CCC-SLP
Contact information
Practice address
9135 SW BARNES RD, PORTLAND, OR 97225-6646
(503) 216-2339
(503) 216-6813
Mailing address
PO BOX 3158, PORTLAND, OR 97208-3158
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
015491
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500719200
—
OR
Enumeration date
08/05/2013
Last updated
03/17/2018
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