Jason Jamaal Young, DC
Individual provider Active NPI Chiropractor · Corvallis, OR
NPI 1740467679 · NPPES record last updated Jan 22, 2008
Key facts
- NPI
- 1740467679
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 3804 (OR)
- Practice address
- 985 NW 23Rd St
Corvallis, OR 97330-4309 - Phone
- (541) 753-1287
- Fax
- (541) 752-1298
- NPI assigned
- Jan 22, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Chiropractic
- Education
- Western States College of Chiropractic, 2007
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Body of Health LLC
Practice addresses (Care Compare)
867 NW 23Rd St
Corvallis, OR 97330-4307
Phone (541) 753-1287
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090312000664 | OR | Practitioner - Chiropractic | 4880750025 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 3804 | OR | Yes |
Addresses
Primary practice location
985 NW 23Rd St
Corvallis, OR 97330-4309
Mailing address
985 NW 23Rd St
Corvallis, OR 97330-4309
Phone (541) 753-1287
Other providers in Corvallis, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.