Ms. Deborah Jo Young
Nurse Practitioner - Community Health
2415 Se 43rd Ave Suite 100
Portland
, Oregon 97206-1600
Ms. Deborah Jo Young
Nurse Practitioner - Community Health
2415 Se 43rd Ave Suite 100
Portland
, Oregon 97206-1600
(503) 775-7869
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About
Features
Specialties
- Nurse Practitioner - Community Health
Languages spoken
- English
Location
First Address
- Ms. Deborah Jo Young
- 7230 Se Reed College Pl
- Portland, OR
- Zip : 97202-8357
- Phone : (503) 775-7869
Second Address
- Ms. Deborah Jo Young
- 2415 Se 43rd Ave Suite 100
- Portland, OR
- Zip : 97206-1600
- Fax : (503) 236-7166
- Phone : (503) 238-0705
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 363LC1500X | Nurse Practitioner - Community Health | 00037409 | OR |
National Provider Identifier
| NPI | 1790889939 |
|---|---|
| Provider Name | Ms. Deborah Jo Young |
| First Address | Portland, OR 97202-8357 |
| Second Address | Portland, OR 97206-1600 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/09/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 129614 | (05) | OR |
| P03395 | (02) | OR |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.