Individual
SHYANNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
423 NE 60TH AVE, PORTLAND, OR 97213-3725
(971) 220-2867
Mailing address
423 NE 60TH AVE, PORTLAND, OR 97213-3725
(971) 220-2867
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T2639
OR
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/10/2018
Last updated
11/11/2024
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