Provider Demographics
NPI:1225325186
Name:YOUNG, GEORGE HUNTER (BBA)
Entity Type:Individual
Prefix:MR
First Name:GEORGE
Middle Name:HUNTER
Last Name:YOUNG
Suffix:
Gender:M
Credentials:BBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2230 W BURNSIDE ST STE B
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:OR
Mailing Address - Zip Code:97210-3727
Mailing Address - Country:US
Mailing Address - Phone:971-407-4100
Mailing Address - Fax:714-074-1039
Practice Address - Street 1:2230 W BURNSIDE ST STE B
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:OR
Practice Address - Zip Code:97210-3727
Practice Address - Country:US
Practice Address - Phone:971-407-4100
Practice Address - Fax:971-407-4103
Is Sole Proprietor?:No
Enumeration Date:2011-06-29
Last Update Date:2021-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORHAS-P-10193539237700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237700000XSpeech, Language and Hearing Service ProvidersHearing Instrument Specialist