Young, Brian Phillip

Young, Brian Phillip is an individual health care provider with primary practice located at 1015 Nw 22Nd Ave Legacy Portland Hospitals, Portland OR 97210-3025. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Young, Brian Phillip can be contacted via phone (503) 413-7711.

Contact Information

Primary practice address
1015 Nw 22Nd Ave Legacy Portland Hospitals Portland OR 97210-3025
Phone: (503) 413-7711
Fax: (503) 413-7361
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 250172 Missouri

Profile Details

NPI number 1780626911
LBN Legal business name Young, Brian Phillip
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Jul 8th, 2007 - about 19 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 1780626911 NPPES
Oregon MEDICAID PENDING

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