Young, Andrea J

Young, Andrea J is an individual health care provider with primary practice located at 10000 Se Main St Ste 224 , Portland OR 97216-2469. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Young, Andrea J can be contacted via phone (503) 261-6961.

Contact Information

Primary practice address
10000 Se Main St Ste 224 Portland OR 97216-2469
Phone: (503) 261-6961
Fax: (503) 261-6959
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD00045467 Washington
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X MD189771 Oregon
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD00045467 Washington
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X MD189771 Oregon

Profile Details

NPI number 1437174489
LBN Legal business name Young, Andrea J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2006
Last updated Aug 27th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437174489 NPPES
Washington MEDICAID 1010353

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