Young, Deborah Jo

Young, Deborah Jo is an individual health care provider with primary practice located at 2415 Se 43Rd Ave Suite 100, Portland OR 97206-1600. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Community Health, Nursing Service Providers / Community Health. Physician Assistants & Advanced Practice Nursing Providers / Community Health is her primary health care specialty. Young, Deborah Jo can be contacted via phone (503) 238-0705.

Contact Information

Primary practice address
2415 Se 43Rd Ave Suite 100 Portland OR 97206-1600
Phone: (503) 238-0705
Fax: (503) 236-7166
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Community Health 363LC1500X 00037409 Oregon
Nursing Service Providers / Community Health 163WC1500X 00037409 Oregon

Profile Details

NPI number 1790889939
LBN Legal business name Young, Deborah Jo
Credentials PMHNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 8th, 2006
Last updated Jul 9th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790889939 NPPES
Oregon MEDICAID 129614

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