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Individual

JENNIFER L YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
151 W 7TH AVE STE 100, EUGENE, OR 97401-2676
(541) 682-3550
Mailing address
2073 OLYMPIC ST, SPRINGFIELD, OR 97477-3413
(541) 682-3550

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
200350034NP
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100368
OR
Enumeration date
11/30/2006
Last updated
06/10/2014
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