Provider Demographics
NPI:1609198100
Name:YOUNG-CHENEY, JOAN E (DC)
Entity Type:Individual
Prefix:DR
First Name:JOAN
Middle Name:E
Last Name:YOUNG-CHENEY
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2460 NW TROOST ST
Mailing Address - Street 2:
Mailing Address - City:ROSEBURG
Mailing Address - State:OR
Mailing Address - Zip Code:97471-7704
Mailing Address - Country:US
Mailing Address - Phone:541-673-0190
Mailing Address - Fax:541-957-9410
Practice Address - Street 1:2460 NW TROOST ST
Practice Address - Street 2:
Practice Address - City:ROSEBURG
Practice Address - State:OR
Practice Address - Zip Code:97471-7704
Practice Address - Country:US
Practice Address - Phone:541-673-0190
Practice Address - Fax:541-957-9410
Is Sole Proprietor?:No
Enumeration Date:2010-02-24
Last Update Date:2016-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR3300111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor