Provider Demographics
NPI:1922627892
Name:YOUNG, ZACHERY MACK (DC, ND)
Entity Type:Individual
Prefix:DR
First Name:ZACHERY
Middle Name:MACK
Last Name:YOUNG
Suffix:
Gender:M
Credentials:DC, ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 COLUMBIA POINT DR
Mailing Address - Street 2:
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4387
Mailing Address - Country:US
Mailing Address - Phone:509-946-7692
Mailing Address - Fax:509-943-8639
Practice Address - Street 1:110 COLUMBIA POINT DR
Practice Address - Street 2:
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4387
Practice Address - Country:US
Practice Address - Phone:509-946-7692
Practice Address - Fax:509-943-8639
Is Sole Proprietor?:No
Enumeration Date:2020-04-10
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACH61031819111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor