Individual
LILLIAN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Contact information
Practice address
9340 SW BARNES RD, SUITE 102, PORTLAND, OR 97225-6623
(503) 216-2807
Mailing address
9340 SW BARNES RD, SUITE 102, PORTLAND, OR 97225-6623
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
090006027N5
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100356
—
OR
Enumeration date
12/26/2007
Last updated
09/25/2020
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