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Jon Everett Young

Counselor, Mental Health in Pendleton, OR. Individual provider (NPI-1).

NPI number1265927099
StatusActive
Last updated in NPPESJun 25, 2018

Details

NPI
1265927099
Entity type
Individual (NPI-1)
Name
Jon Everett Young
Sex
Male
Sole proprietor
No
Enumeration date
Jun 25, 2018
Last updated
Jun 25, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YM0800X Counselor, Mental Health–ORYes

Practice location

2575 Westgate Bldg 1
Pendleton, OR 97801-9613

Phone 541-429-8721 · Fax 541-429-8720

Mailing address

3587 Heathrow Way
Medford, OR 97504-4004

Phone 541-858-8170 · Fax 541-858-8167

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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

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