Individual
CANDACE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1020 SW TAYLOR ST STE 740, PORTLAND, OR 97205-2505
(503) 222-4056
Mailing address
PO BOX 13101, PORTLAND, OR 97213-0101
(503) 528-8404
(503) 528-8405
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1045
OR
Other
Enumeration date
03/16/2007
Last updated
07/08/2007
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