Individual
EMILIE KATHRINE YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1929 SE 89TH AVE, PORTLAND, OR 97216-1924
(503) 841-0752
Mailing address
1929 SE 89TH AVE, PORTLAND, OR 97216-1924
(503) 841-0752
Taxonomy
Speciality
Code
Description
License number
State
374J00000X
Doula
Primary
THW000107882
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
THW000107882
—
OR
Enumeration date
12/07/2022
Last updated
12/07/2022
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