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Individual

ROBERT C YOUNG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
13200 SW PACIFIC HWY, TIGARD, OR 97223
(503) 598-2000
(503) 639-0920
Mailing address
6 CENTERPOINTE DR STE 200, LAKE OSWEGO, OR 97035-8660
(503) 797-2273
(503) 234-8155

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OR13923
OR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
103259
OR
Enumeration date
02/26/2007
Last updated
10/15/2010
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