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SANDRA C YOUNG
NPI 1134636152
Counselor - Mental Health in Portland, OR

Active since December 30, 2017
3036 NE MLK JR BLVD, PORTLAND, OR 97212(503) 889-2500 Get Directions Write a Review

NPPES record last updated: March 11, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 11, 2020, Dec 30, 2017 (2 updates tracked since 2017).

About Sandra C Young NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SANDRA C YOUNG (NPI 1134636152) is an individual mental health provider in Portland, Oregon and active in the NPI registry since December 2017.

NPPES Registry Identity

NPI1134636152
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSANDRA C YOUNG
Location Address3036 NE MLK JR BLVDPortland, OR 97212-3053
Mailing AddressPo Box 8459Portland, OR 97207-8459
Phone(503) 889-2500
Sole ProprietorNo
Enumeration DateDecember 30, 2017
Last NPPES UpdateMarch 11, 20202 updates tracked since enumeration
NPPES CertifiedMarch 11, 2020
✔ NPI 1134636152 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3036 NE MLK JR BLVD, Portland, OR 97212
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ASHLEY BARDALES
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
JENIFER PREVOST
Peer Specialist
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
ANNDREA GLADYS VAUGHN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 889-2500
JESSICA SHIRLEY CUSHMAN
Case Manager/Care Coordinator
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MS. JUNIPER ELIZABETH WAGNER
Counselor (Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
BENJAMIN MICHAEL DAVIDSON
Student in an Organized Health Care Education/Training Program
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
MADELEINE ROSE POTTER PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763
PHILIP JOHN MAGGI
Counselor (Addiction (Substance Use Disorder))
3036 NE MLK JR BLVD
PORTLAND, OR 97212
Multnomah County (503) 283-3763

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sandra Young's NPI number?

The NPI number for Sandra Young is 1134636152. It was assigned to this individual provider in the NPPES registry on December 30, 2017.

Where is Sandra Young located?

Sandra Young practices at 3036 NE Mlk Jr Blvd, Portland, OR 97212. The listed phone number is (503) 889-2500.

What is Sandra Young's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Sandra Young was last updated on March 11, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.