Young, Gary

Young, Gary is an individual health care provider with primary practice located at 1255 Hilyard St , Eugene OR 97401-3718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Young, Gary can be contacted via phone (541) 686-6932.

Contact Information

Primary practice address
1255 Hilyard St Eugene OR 97401-3718
Phone: (541) 686-6932
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MD12211 Oregon

Profile Details

NPI number 1912953852
LBN Legal business name Young, Gary
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Dec 19th, 2007 - about 17 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 1912953852 NPPES
Oregon MEDICAID 077862
Oregon MEDICAID 8280158
Oregon Other A019
Oregon Other 057221008
Oregon Other D70722
Oregon MEDICAID XPY187524
Oregon Other 104999
Oregon Other D70722
Oregon Other D70722

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