Dylan Cordero Young, PT, DPT | |
270 Nw Burnside Rd, Gresham, OR 97030-3836 | |
(503) 215-9141 | |
Not Available |
Full Name | Dylan Cordero Young |
---|---|
Gender | Male |
Speciality | Physical Therapist |
Location | 270 Nw Burnside Rd, Gresham, Oregon |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1821763053 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 64193 (Oregon) | Primary |
Provider Name | Providence Health & Services Oregon |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1023488343 PECOS PAC ID: 0648183608 Enrollment ID: O20031106000652 |
Mailing Address | Practice Location Address |
---|---|
Dylan Cordero Young, PT, DPT 270 Nw Burnside Rd, Gresham, OR 97030-3836 Ph: (503) 215-9124 | Dylan Cordero Young, PT, DPT 270 Nw Burnside Rd, Gresham, OR 97030-3836 Ph: (503) 215-9141 |
Namita Avarsekar, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 304 Ne Hood Ave, Gresham, OR 97030 Phone: 503-666-1333 Fax: 503-666-2444 | |
Paul Song Eo, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24076 Se Stark St Ste 200, Gresham, OR 97030 Phone: 503-491-1666 | |
Mr. Clem George Eischen Jr., PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 24076 Se Stark St, Gresham, OR 97030 Phone: 503-491-1666 | |
Stacia Akers, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 24800 Se Stark St, Gresham, OR 97030 Phone: 503-413-3879 Fax: 503-413-4379 | |
Debra Magnani, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 270 Nw Burnside Rd, Gresham, OR 97030 Phone: 503-215-9141 | |
Kimberly Do, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 714-902-5157 | |
Dr. Sara L Duran, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 831 Nw Council Dr Ste 200, Gresham, OR 97030 Phone: 503-482-1876 |