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NPI Code Detail

MEDICARE: CAMRY YOUNG LPC

MEDICARE: CAMRY YOUNG LPC
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1861127961
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAMRY YOUNG LPC
Provider Business Mailing Address
First Line : 4900 SW GRIFFITH DR STE 157
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-2977
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4900 SW GRIFFITH DR STE 157
Second Line :
City : BEAVERTON
State : OR
Zip : 97005-2977
Country : US
Telephone Number : 503-389-0549
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2022
Last Update Date : 02/11/2026

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Directions to “ CAMRY YOUNG LPC” Practice Location

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