Individual
BRYCE R YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
551 LONE PINE BLVD, THE DALLES, OR 97058-9403
(541) 506-6920
Mailing address
7675 ATASCADERO AVE, ATASCADERO, CA 93422-4466
(805) 591-0469
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
06/09/2022
Last updated
06/09/2022
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