Individual
CHARLES BRENTON YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
QMHP
Contact information
Practice address
14195 SW MILLIKAN WAY, BEAVERTON, OR 97005-2307
(503) 646-5687
Mailing address
17943 SW REISNER LN, SHERWOOD, OR 97140-8145
(971) 222-3886
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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