Individual
ANDREA J YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
10000 SE MAIN ST STE 224, PORTLAND, OR 97216-2469
(503) 261-6961
(503) 261-6959
Mailing address
10000 SE MAIN ST STE 224, PORTLAND, OR 97216-2469
(503) 261-6961
(503) 261-6959
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD00045467
WA
207X00000X
Orthopaedic Surgery Physician
MD189771
OR
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
MD00045467
WA
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD189771
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1010353
—
WA
Enumeration date
07/12/2006
Last updated
08/27/2024
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