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Individual

MR. BRADLEY RONALD YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.A., M.DIV., L.P.C.

Contact information

Practice address
18650 SW BOONES FERRY RD, SUITE 3, TUALATIN, OR 97062-8491
(503) 928-4777
(503) 928-4779
Mailing address
18650 SW BOONES FERRY RD, SUITE 3, TUALATIN, OR 97062-8491
(503) 928-4777
(503) 928-4779

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
C2228
OR

Other

Enumeration date
06/30/2011
Last updated
06/30/2011
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