Individual
BRANDON YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1500 DIVISION ST, OREGON CITY, OR 97045-1527
(503) 650-6270
Mailing address
PO BOX 3777, PORTLAND, OR 97208-3777
(503) 413-8988
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD176535
OR
207R00000X
Internal Medicine Physician
PG162941
OR
208M00000X
Hospitalist Physician
MD176535
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500707849
—
OR
01
—
P01777672
RR MEDICARE (PH&S)-PMG
OR
Enumeration date
05/23/2013
Last updated
05/29/2018
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