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NPI Code Detail

MEDICARE: RAYLENE YOUNG RN

MEDICARE:   RAYLENE  YOUNG  RN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163WA0400XAddiction (Substance Use Disorder) Registered NurseRN60967694WA

General Provider Information

NPI Number : 1548126030
Entity Type Code : Individual
Provider Name (Legal Business Name) : RAYLENE YOUNG RN
Provider Business Mailing Address
First Line : 4799 WILDLIFE ACRES LN
Second Line :
City : SEDRO WOOLLEY
State : WA
Zip : 98284-7826
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 201 SUZANNE LN
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-9514
Country : US
Telephone Number : 360-416-1960
Fax Number : 360-639-1440
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/29/2025
Last Update Date : 12/29/2025

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