MS. DEBORAH JO YOUNG (NPI# 1790889939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790889939 |
Entity Type | Individual |
Full Name | MS. DEBORAH JO YOUNG |
Credential | PMHNP |
Practice Address |
2415 Se 43rd Ave Suite 100 Portland OR 97206-1600 |
Mailing Address |
7230 Se Reed College Pl Portland OR 97202-8357 |
Practice Telephone | 5032380705 |
Practice Fax Number | 5032367166 |
Mailing Telephone | 5037757869 |
Enumeration Date | 2006-09-08 |
Last Update Date | 2007-07-09 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
X | 163WC1500X |
Registered Nurse Specialization: Community Health |
00037409 | OR | Nursing Service Providers |
X | 363LC1500X |
Nurse Practitioner Specialization: Community Health |
00037409 | OR | Physician Assistants & Advanced Practice Nursing Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OR | 129614 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1831734680 | Deborah Melissa Young | Case Manager/Care Coordinator | 7260 Cold Harbor Rd Apt 304, Mechanicsville, VA 23111-5063 | 2019-11-14 |
1790146579 | Deborah Young | Case Management | 110 Austin Brook St, Simpsonville, SC 29680-7297 | 2016-03-08 |
1306211024 | Deborah Denise Young | Speech-Language Pathologist | 316 N. Steele Ave, Cushing Upper Elementary, Cushing, OK 74023 | 2015-12-07 |
1154742401 | Deborah Young | Hearing Instrument Specialist | 1747 E Osage Rd, Suite F, Derby, KS 67037-3059 | 2014-01-03 |
1336481993 | Deborah Young | Respite Care | 3050 W Placita De La Roseta, Tucson, AZ 85746-8367 | 2013-03-21 |
1427313790 | Deborah Young | Social Worker | 7659 S Morgan St, Apt 1, Chicago, IL 60620-2800 | 2012-07-11 |
1679729768 | Deborah Young | Counselor | 8888 Benning Dr Apt 311, Houston, TX 77031-2458 | 2008-08-08 |
1619008208 | Deborah D. Young | Hearing Aid Equipment | 14233 Detroit Ave, Lakewood, OH 44107-4461 | 2007-03-08 |
1740772870 | Deborah Young | Nurse Practitioner | 1107 W Poplar Ave, Porterville, CA 93257-5839 | 2018-06-04 |
1730615030 | Deborah Lynn Young | Registered Nurse | N2950 State Road 67, Lake Geneva, WI 53147-2655 | 2017-05-04 |
Street Address |
2415 SE 43RD AVE SUITE 100 |
City | PORTLAND |
State | OR |
Zip Code | 97206-1600 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164404836 | David John Kohler | Counselor | 2415 Se 43rd Ave, Suite 100, Portland, OR 97206-1600 | 2005-11-17 |
1700486586 | Tyler James Boulanger | Psychologist | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2020-10-29 |
1598385379 | Kathy J Kelly | Registered Nurse | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2020-04-21 |
1689214967 | Emily Hays | Case Manager/Care Coordinator | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2020-01-14 |
1083258750 | Emily Wilder | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2019-11-05 |
1639580012 | Richard Gear | Counselor | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2014-05-19 |
1427468982 | Kristina Hankamp | Adult Companion | 2415 Se 43rd Ave, Suite 200, Portland, OR 97206-1600 | 2014-05-05 |
1427477405 | Kayla Cronenbold | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2014-04-07 |
1770900136 | Pavlina Rodriguez | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2014-03-24 |
1508282989 | M Selena Bellas | Counselor | 2415 Se 43rd Ave, Portland, OR 97206-1600 | 2014-03-10 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346852365 | Amanda Kristine Fredrickson | Dietitian, Registered | 3611 Se 64th Ave., Portland, OR 97206 | 2020-08-20 |
1578108940 | Amy Groulx | Technician | 5506 Se Mitchell St, Portland, OR 97206 | 2019-11-08 |
1477061265 | Lisa Marie Matejka | Naturopath | 5235 Se Lambert St, Apt. #b6, Portland, OR 97206 | 2018-01-16 |
1639625205 | Mollie Kathleen Pence | Registered Nurse | 2415 43rd Ave, Suite 100, Cascadia Behavioral Healthcare Urgent Walkin Clinic, Portland, OR 97206 | 2016-09-01 |
1457709164 | Lauren Murdoch | Massage Therapist | 4629 Southeast Woodstock Boulevard, Portland, OR 97206 | 2016-06-03 |
1962897785 | Meigra Simon LLC | Mechanotherapist | 6842 Se Henry St, Portland, OR 97206 | 2015-03-30 |
1891186508 | Teresa Leckron-myers | Case Manager/Care Coordinator | 7916 Se Foster Rd, Portland, OR 97206 | 2015-02-17 |
1831597590 | Boey Yean Lim | Acupuncturist | 4629 Se Woodstock Blvd, Portland, OR 97206 | 2014-12-12 |
1295082329 | Chase Heywood Price | Acupuncturist | 5425 Se Raymond Street, Portland, OR 97206 | 2012-08-08 |
1154678423 | Annelise Sevastiana Schnase | Counselor | 4311 Se Woodstock Blvd, Portland, OR 97206 | 2012-08-06 |
Find all providers in zip 97206 |
Taxonomy Code | 163WC1500X |
Grouping | Nursing Service Providers |
Classification | Registered Nurse |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073149928 | Ann De Voir | Registered Nurse | 2905 Sw Greenway Ave, Portland, OR 97201-1452 | 2020-03-22 |
1164070595 | Yvonne M Myette | Registered Nurse | 14834 Nw Orchid St, Portland, OR 97229-6941 | 2019-08-28 |
1275022675 | Jennifer Rohner | Registered Nurse | 10217 Ne Knott St, Portland, OR 97220-2861 | 2018-05-02 |
1710494117 | Lydia Ellen Hicks | Registered Nurse | 214 W. Longview Drive, Portland, TN 37148 | 2018-01-08 |
1871018309 | Erin Elizabeth Graff | Registered Nurse | 5112 Ne 47th Pl, Portland, OR 97218-2066 | 2017-08-05 |
1487181004 | Evan Dean | Registered Nurse | 1820 Se 50th Ave, Portland, OR 97215-3236 | 2017-05-12 |
1285174466 | Gina Elaine Marchi | Registered Nurse | 3635 Ne 45th Ave, Portland, OR 97213-1023 | 2017-03-07 |
1770820532 | Terry Edward Jess | Registered Nurse | 8512 Se 13th Ave, Portland, OR 97202-7106 | 2013-01-13 |
1942575881 | Greg Clarke Ferguson | Registered Nurse | 4522 Se Lincoln St, Portland, OR 97215-3744 | 2012-03-10 |
1366712770 | Pamela Poghen | Registered Nurse | 235 Hwy 52 E, Portland, TN 37148 | 2012-01-03 |
Find all providers in PORTLAND |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.