Young, Terence H
Young, Terence H is an individual health care provider with primary practice located at 1875 Liberty St Ne , Salem OR 97301. He recently has only one registered license in Allopathic & Osteopathic Physicians / General Practice, which is considered as his primary health care specialty. Young, Terence H can be contacted via phone (503) 371-1558.Contact Information
Primary practice address
1875 Liberty St Ne
Salem OR 97301
Phone: (503) 371-1558
Fax: (503) 375-3866
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / General Practice | 208D00000X | MD11603 | Oregon |
Profile Details
| NPI number | 1073668935 |
|---|---|
| LBN Legal business name | Young, Terence H |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2007 |
| Last updated | Jul 12th, 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 | 1073668935 | NPPES |
| Oregon | Other | C94141000001 | PROVIDENCE INS |
| Oregon | Other | 000172000 | PROVIDENCE INS |
| Oregon | Other | OR2204 | PROVIDENCE INS |
| Oregon | Other | P00209118 | PROVIDENCE INS |
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