Provider Demographics
NPI:1437945433
Name:YOUNG, PETER
Entity type:Individual
Prefix:MR
First Name:PETER
Middle Name:
Last Name:YOUNG
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1227
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:OR
Mailing Address - Zip Code:97381-0057
Mailing Address - Country:US
Mailing Address - Phone:503-874-1820
Mailing Address - Fax:971-332-1295
Practice Address - Street 1:209 W C ST
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:OR
Practice Address - Zip Code:97381-1951
Practice Address - Country:US
Practice Address - Phone:503-874-1820
Practice Address - Fax:971-332-1295
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath