Healthcare Provider Details

I. General information

NPI: 1861556185
Provider Name (Legal Business Name): RAYMOND L YOUNT AU.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 03/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 GOVERNORS DR SW
HUNTSVILLE AL
35801-5131
US

IV. Provider business mailing address

8800 SE SUNNYSIDE RD STE 300N
CLACKAMAS OR
97015-5703
US

V. Phone/Fax

Practice location:
  • Phone: 256-533-3434
  • Fax:
Mailing address:
  • Phone: 281-286-2999
  • Fax: 512-607-4893

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code237600000X
TaxonomyAudiologist-Hearing Aid Fitter
License Number737A
License Number StateAL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: