Individual
YVONNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
822 NE 181ST AVE, PORTLAND, OR 97230-6708
(503) 661-5210
Mailing address
1330 NE PARK LN, FAIRVIEW, OR 97024-3822
Taxonomy
Speciality
Code
Description
License number
State
126800000X
Dental Assistant
Primary
A8619
OR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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