Healthcare Provider Details

I. General information

NPI: 1659206852
Provider Name (Legal Business Name): SARAH YOUNG
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

201 NW 3RD ST
CORVALLIS OR
97330-4801
US

IV. Provider business mailing address

201 NW 3RD ST
CORVALLIS OR
97330-4801
US

V. Phone/Fax

Practice location:
  • Phone: 541-255-2681
  • Fax:
Mailing address:
  • Phone: 541-255-2681
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number18584
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: