Provider Demographics
NPI:1023088127
Name:YOUNGER, JOEL BRUCE (MD)
Entity type:Individual
Prefix:DR
First Name:JOEL
Middle Name:BRUCE
Last Name:YOUNGER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13531 JUANITA WOODINVILLE WAY NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-5225
Mailing Address - Country:US
Mailing Address - Phone:425-636-2400
Mailing Address - Fax:425-636-2401
Practice Address - Street 1:13531 JUANITA WOODINVILLE WAY NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-5225
Practice Address - Country:US
Practice Address - Phone:425-636-2400
Practice Address - Fax:425-636-2401
Is Sole Proprietor?:No
Enumeration Date:2006-01-23
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG491082084N0400X
WAG491082084S0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep Medicine
No2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA130023594OtherRAILROAD MEDICARE
WAMD00019547OtherLICENSE
WAMD00019547OtherLICENSE