Individual
MR. MICHAEL J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
3101 NORTHUP WAY STE 201, BELLEVUE, WA 98004-1449
(425) 455-3600
(425) 455-3920
Mailing address
510 8TH AVE NE STE 320, ISSAQUAH, WA 98029-5436
(425) 507-0733
(425) 283-5551
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
PA10005080
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0217917
L & I
WA
01
—
G8863519
MEDICARE POSM
WA
01
—
G8876709
MEDICARE EMRI
WA
01
—
P00669278
MEDICARE RR KING CO.
WA
Enumeration date
01/18/2007
Last updated
05/13/2024
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