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1811011083
CANDACE YOUNG
PORTLAND, OR
NPI
1811011083
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist Clinical
(Licence: OR 1045)
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
CANDACE YOUNG PHD
1020 SW TAYLOR ST STE 740
PORTLAND, OR 97205-2505
Phone number: 503-222-4056
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Mailing Address
CANDACE YOUNG PHD
PO BOX 13101
PORTLAND, OR 97213-0101
Phone number: 503-528-8404
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