Individual
LAURA JANE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2415 SE 43RD AVE, PORTLAND, OR 97206-1600
(503) 963-2575
(503) 872-0116
Mailing address
19100 E BURNSIDE ST APT H254, PORTLAND, OR 97233-5892
(707) 688-0401
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
372600000X
Adult Companion
Primary
—
—
Other
Enumeration date
01/09/2007
Last updated
09/11/2025
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