Individual provider · Type 1 NPI

Ian Matthew James Youngblood

Student in an Organized Health Care Education/Training Program · Bremerton, WA

NPI number 1912822727 Active

Practice location

4205 Kitsap Way
Bremerton, WA 98312-2447

Mailing address

5168 NW Mystic Ct
Silverdale, WA 98383-8832

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 1912822727

Ian Matthew James Youngblood's National Provider Identifier is 1912822727, issued on Aug 11, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Bremerton, WA. The record was last updated on Aug 11, 2026.