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1760510234
CHARLES BRENTON YOUNG
BEAVERTON, OR
NPI
1760510234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2007-02-28
Last Update Date
2007-07-08
Business Address
-- CHARLES BRENTON YOUNG QMHP
14195 SW MILLIKAN WAY
BEAVERTON, OR 97005-2307
Phone number: 503-646-5687
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Mailing Address
-- CHARLES BRENTON YOUNG QMHP
17943 SW REISNER LN
SHERWOOD, OR 97140-8145
Phone number: 971-222-3886
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