Young, Jeffrey William

Young, Jeffrey William is an sole proprietor health care provider with primary practice located at 19220 Mcloughlin Blvd , Gladstone OR 97027-2642. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Young, Jeffrey William can be contacted via phone (503) 656-4268.

Contact Information

Primary practice address
19220 Mcloughlin Blvd Gladstone OR 97027-2642
Fax: (503) 655-4189
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X DO21904 Oregon

Profile Details

NPI number 1063428951
LBN Legal business name Young, Jeffrey William
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2006
Last updated Jul 8th, 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 1063428951 NPPES
Oregon MEDICAID 287601

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