DR. MATTHEW JOHN YOUNG (NPI# 1083041263) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083041263 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW JOHN YOUNG |
| Credential | DMD |
| Practice Address |
930 Nw 14th Ave Ste 220 Portland OR 97209-2730 |
| Practice Telephone | 5038898632 |
| Mailing Telephone | 0388986325 |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
D9908 | OR | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593777 | Matthew Ryan Young | Registered Nurse | 6700 Charbonneau Rd, Lake Worth, TX 76135-3502 | 2020-09-16 |
| 1508405473 | Matthew Christopher Young | Registered Nurse | 4501 Carson St Ne, Saint Petersburg, FL 33703-4237 | 2019-12-24 |
| 1083143911 | Matthew Young | Physical Therapist | 2682 W Fairbanks Ave, Winter Park, FL 32789-3385 | 2017-06-05 |
| 1447607312 | Matthew Young | Physician Assistant | 155 Covey Dr Ste 100, Franklin, TN 37067-6007 | 2016-05-19 |
| 1235591116 | Matthew Young | Nurse Anesthetist, Certified Registered | 9899b Monserat Ridge Rd, Millfield, OH 45761-9777 | 2016-03-22 |
| 1568710325 | Matthew Richard Young | Social Worker | 13433 Detroit Ave Apt 102, Lakewood, OH 44107-4616 | 2012-08-27 |
| 1821060062 | Matthew Carl Young | Family Medicine | 16222 W. Us Hwy 24, Suite 200, Woodland Park, CO 80863-0000 | 2006-02-02 |
| 1063027530 | Matthew Glenn Young | Pharmacist | 41460 Haggerty Cir S, Canton, MI 48188-2227 | 2020-09-11 |
| 1235771767 | Matthew James Young | Case Manager/Care Coordinator | 2210 N Eldorado Ave, Klamath Falls, OR 97601-6418 | 2019-10-16 |
| 1679134639 | Matthew Thomas Young | Occupational Therapist | 116 Lineberry Blvd, Mt Juliet, TN 37122-5517 | 2019-06-21 |
| Street Address |
930 NW 14TH AVE STE 220 |
| City | PORTLAND |
| State | OR |
| Zip Code | 97209-2730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508476250 | Harrington Health Clinic | Nurse Practitioner | 310 Nw Glisan Street, Portland, OR 97209 | 2020-08-07 |
| 1619599636 | Rivers Way Training Clinic | Community/Behavioral Health | 2049 Nw Hoyt, Portland, OR 97209 | 2020-05-13 |
| 1518590538 | Julie Kay Igarta | Registered Nurse | 140 Northwest 14th Avenue, Portland, OR 97209 | 2020-02-18 |
| 1407492002 | Oregon Injection Clinic | Clinic/Center | 1500 Nw Lovejoy, 106, Portland, OR 97209 | 2019-11-19 |
| 1487202883 | Ann Tesora | Massage Therapist | 1320 Northwest 20th Avenue, Portland, OR 97209 | 2019-08-28 |
| 1972160455 | Vincent Martin | Massage Therapist | 210 Sw 17th Avenue, Portland, OR 97209 | 2019-05-21 |
| 1154896546 | Jennifer Marie Dodd | Social Worker | 1722 Nw Raleigh St Spc 412, Portland, OR 97209 | 2018-10-11 |
| 1922551910 | Ashley Crowell | Physician Assistant | 949 Nw Overton St Unit 306, Portland, OR 97209 | 2016-07-26 |
| 1326408394 | Jennifer Blain | Counselor | 324 Nw Davis, Portland, OR 97209 | 2016-03-03 |
| 1275993255 | Lauren Dodson | Licensed Practical Nurse | 324 Nw Davis St, Portland, OR 97209 | 2016-03-03 |
| Find all providers in zip 97209 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760097034 | Hannah Glazunov | Dentist | 4970 S Landing Dr Unit 302, Portland, OR 97239-5900 | 2020-09-13 |
| 1093345159 | Ashley Bennett Dds, LLC | Dentist | 5415 Sw Westgate Dr Ste 202, Portland, OR 97221-2429 | 2020-01-17 |
| 1841844354 | Carly K Christoferson | Dentist | 1616 Sw Sunset Blvd Ste A, Portland, OR 97239-2641 | 2019-08-01 |
| 1083279384 | Timber Dental Downtown LLC | Dentist | 310 Sw 4th Ave Ste 100, Portland, OR 97204-2345 | 2019-05-02 |
| 1780140715 | Timber Dental East Burnside | Dentist | 1200 Se Sandy Blvd, Portland, OR 97214-1347 | 2019-02-14 |
| 1548726581 | Timber Dental Bethany | Dentist | 15715 Nw Central Dr Ste 7-8, Portland, OR 97229-1267 | 2019-02-14 |
| 1124583208 | Portland Dental LLC | Dentist | 511 Sw 10th Ave Ste 1206, Portland, OR 97205-2713 | 2019-02-04 |
| 1245701465 | Jeffrey Levitt Brady | Dentist | 10060 E Burnside St, Portland, OR 97216-2334 | 2018-12-16 |
| 1780166918 | Daniel Alejandro Mesa | Dentist | 2038 Lloyd Ctr # H317, Portland, OR 97232-1309 | 2018-09-04 |
| 1093293375 | Trusha B Patel | Dentist | 3801 N Interstate Ave, Portland, OR 97227-1109 | 2018-07-30 |
| Find all providers in PORTLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.