Individual
MRS. LESLIE H YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2230 W BURNSIDE ST STE B, PORTLAND, OR 97210-3727
(971) 407-4100
(971) 407-4103
Mailing address
2230 W BURNSIDE ST STE B, PORTLAND, OR 97210-3727
(971) 407-4100
(971) 407-4103
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
30786
OR
231H00000X
Audiologist
51485
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
175441801
—
TX
01
—
80375A
BCBS
TX
Enumeration date
06/19/2007
Last updated
03/27/2018
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