Individual provider · Type 1 NPI

Shannon N. Young

Student in an Organized Health Care Education/Training Program · Portland, OR

NPI number 1386420420 Active

Practice location

3722 S Corbett Ave
Portland, OR 97239-4380

Call (719) 205-4787 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1386420420

Shannon N. Young's National Provider Identifier is 1386420420, issued on Sep 5, 2023. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Portland, OR. The record was last updated on Sep 5, 2023.