Provider Demographics
NPI:1891734893
Name:YOUNG, ALISON Z (MD)
Entity type:Individual
Prefix:
First Name:ALISON
Middle Name:Z
Last Name:YOUNG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:805 MADISON ST STE 703
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98104-1172
Mailing Address - Country:US
Mailing Address - Phone:206-456-4464
Mailing Address - Fax:206-420-6851
Practice Address - Street 1:805 MADISON ST STE 703
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-1172
Practice Address - Country:US
Practice Address - Phone:206-456-4464
Practice Address - Fax:206-420-6851
Is Sole Proprietor?:No
Enumeration Date:2006-06-05
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00046530207ND0900X, 207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
No207ND0900XAllopathic & Osteopathic PhysiciansDermatologyDermatopathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8472136Medicaid
WAUS7076823OtherAETNA PCP PIN
WA8420YOOtherBLUE SHIELD #
AKMD0559WOtherAK MEDICAID
WA8864500Medicare PIN
AKMD0559WOtherAK MEDICAID
WA8472136Medicaid