Individual
DR. GARY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1255 HILYARD ST, EUGENE, OR 97401-3718
(541) 686-6932
Mailing address
PO BOX 4078, PORTLAND, OR 97208-4078
(888) 633-0086
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12211
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
057221008
BCBS
—
05
—
077862
—
OR
01
—
104999
WA L & I
—
05
—
8280158
—
WA
01
—
A019
CHAMPUS
—
01
—
D70722
PROVIDENCE
—
05
—
XPY187524
—
CA
Enumeration date
05/25/2006
Last updated
12/19/2007
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