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General NPI Number Information
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NPI Number | 1063428951
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Entity Type | Individual
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Provider Name | JEFFREY WILLIAM YOUNG D.O.
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Gender | Male
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Dates
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Enumeration Date | 07/31/2006
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Last Update Date | 10/02/2025
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Provider Practice Location Address
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Address Line | 1420 JOHN ADAMS ST
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City | OREGON CITY
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State | OR
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Zip | 97045-1609
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Country | US
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Telephone | 503-656-1484
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Fax | 503-650-1976
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Provider Business Mailing Address
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Address Line | PO BOX 1517
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City | PENDLETON
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State | OR
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Zip | 97801-0410
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Country | US
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Telephone | 877-708-1119
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Fax | 541-278-8349
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO21904
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License Number State | OR
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