Individual
ELLE ANNA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS
Contact information
Practice address
1235 MAIN ST, SWEET HOME, OR 97386-1609
(541) 818-0379
Mailing address
230 N 3RD ST STE 105, HARRISBURG, OR 97446-9679
(541) 998-5660
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
23-CRM-2491
OR
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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