Individual
BENJAMIN YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3000
(503) 494-4286
Mailing address
3181 SW SAM JACKSON PARK RD, PORTLAND, OR 97239-3011
(503) 494-3000
(503) 494-4286
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
LP03810
RI
207W00000X
Ophthalmology Physician
MD210215
OR
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
MD210215
OR
207Y00000X
Otolaryngology Physician
4301502082
MI
Other
Enumeration date
07/02/2016
Last updated
07/11/2022
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