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Individual

KEVIN WAYNE YOUNG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
OT

Contact information

Practice address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-9226
Mailing address
540 S MAIN ST, MOUNT ANGEL, OR 97362-9540
(503) 845-9226

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1044863
OR

Other

Enumeration date
09/06/2013
Last updated
09/06/2013
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