Provider Demographics
NPI:1215272562
Name:YOUNG, STEPHEN C (MS, QMHP)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:C
Last Name:YOUNG
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Gender:M
Credentials:MS, QMHP
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Mailing Address - Street 1:421 SW OAK ST
Mailing Address - Street 2:SUITE 520
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97204-1817
Mailing Address - Country:US
Mailing Address - Phone:503-988-5464
Mailing Address - Fax:503-988-5870
Practice Address - Street 1:1120 SW 3RD AVE STE 358
Practice Address - Street 2:JUSTICE CENTER-COMMUNITY COURT SOCIAL SERVICES
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97204-2828
Practice Address - Country:US
Practice Address - Phone:503-988-5090
Practice Address - Fax:503-988-3877
Is Sole Proprietor?:No
Enumeration Date:2012-11-27
Last Update Date:2012-11-27
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor