Individual
KATHERINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
836 E MAIN ST, SUITE 1, MEDFORD, OR 97504-7115
(541) 773-9324
Mailing address
426 HAVEN ST, MEDFORD, OR 97501-2432
(541) 944-0344
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
11439
OR
Other
Enumeration date
12/31/2013
Last updated
12/31/2013
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