| Young East Asian Medicine, Llc | |
|
8931 Se Foster Rd. Ste 102 Portland OR 97266-4661 | |
| (503) 255-7000 | |
| (503) 255-7001 |
| Full Name | Young East Asian Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 8931 Se Foster Rd., Portland, Oregon |
| Authorized Official Name and Position | Dixie Leigh Young Small (CLINIC OWNER) |
| Authorized Official Contact | 5039848301 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Young East Asian Medicine, Llc 11731 Se Lexington St Portland OR 97266-5935 Ph: (503) 984-8301 | Young East Asian Medicine, Llc 8931 Se Foster Rd. Ste 102 Portland OR 97266-4661 Ph: (503) 255-7000 |
| NPI Number | 1568761344 |
|---|---|
| Provider Enumeration Date | 03/20/2011 |
| Last Update Date | 04/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568761344 | NPI | - | NPPES |
| 500653508 | Medicaid | OR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | AC01277 (Oregon) | Primary |
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