Individual
DIANA YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12636 SE STARK ST BLDG J, PORTLAND, OR 97233-1058
(503) 253-4600
Mailing address
825 NE 20TH AVE STE 225, PORTLAND, OR 97232-2299
(503) 433-6016
(971) 229-4723
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
Primary
A14148
OR
Other
Enumeration date
06/09/2025
Last updated
07/14/2026
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