Individual
DR. JEFFERY THOMAS YOUNG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9205 SW BARNES RD, DEPT OF PSYCHIATRY, PORTLAND, OR 97225
(503) 216-2028
(503) 216-2485
Mailing address
3439 NE SANDY BLVD, PMB 375, PORTLAND, OR 97232
(503) 284-8841
(503) 282-3302
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD13339
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135749
—
OR
Enumeration date
12/30/2005
Last updated
07/08/2007
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