Young, Sandra
Young, Sandra is an individual health care provider with primary practice located at 4999 Skyline Rd S , Salem OR 97306-2878. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Young, Sandra can be contacted via phone (503) 364-4005.Contact Information
Primary practice address
4999 Skyline Rd S
Salem OR 97306-2878
Phone: (503) 364-4005
Fax: (503) 364-4006
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 20016001NP | Oregon |
Profile Details
| NPI number | 1598758146 |
|---|---|
| LBN Legal business name | Young, Sandra |
| Credentials | Nurse Practitioner (NP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 30th, 2005 |
| Last updated | Feb 6th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598758146 | NPPES |
| Oregon | MEDICAID | 286187 |
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