Individual
DR. BRIAN PHILLIP YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1015 NW 22ND AVE, LEGACY PORTLAND HOSPITALS, PORTLAND, OR 97210-3025
(503) 413-7711
(503) 413-7361
Mailing address
3909 WHITFIELD DR, SWANSEA, IL 62226-1022
(618) 277-7003
Taxonomy
Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
250172
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
OR
Enumeration date
06/12/2006
Last updated
07/08/2007
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