| Dylan Cordero Young, PT, DPT | |
|
270 Nw Burnside Rd, Gresham, OR 97030-3836 | |
| (503) 215-9141 | |
| Not Available |
| Full Name | Dylan Cordero Young |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 270 Nw Burnside Rd, Gresham, Oregon |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821763053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 64193 (Oregon) | Primary |
| Provider Name | Providence Health & Services Oregon |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
| Mailing Address | Practice Location Address |
|---|---|
| Dylan Cordero Young, PT, DPT 270 Nw Burnside Rd, Gresham, OR 97030-3836 Ph: (503) 215-9124 | Dylan Cordero Young, PT, DPT 270 Nw Burnside Rd, Gresham, OR 97030-3836 Ph: (503) 215-9141 |
Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444 | |
Paul Song Eo, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-1666 | |
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666 | |
Kaeli Frank, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 7927 Se Orient Dr, Gresham, OR 97080 Phone: 503-663-0481 | |
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379 | |
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141 | |
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157 |