Individual
DEAN YOUNGQUIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHA
Contact information
Practice address
1118 OAK ST SE, SALEM, OR 97301-4019
(503) 585-4949
(503) 361-2697
Mailing address
PO BOX 1682, CORVALLIS, OR 97339-1682
(541) 368-7102
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
OR
175T00000X
Peer Specialist
—
—
Other
Enumeration date
02/22/2016
Last updated
10/31/2022
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