Provider Demographics
NPI:1245102839
Name:YOUNG, DAVID GERARD (ND)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:GERARD
Last Name:YOUNG
Suffix:
Gender:M
Credentials:ND
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 77
Mailing Address - Street 2:
Mailing Address - City:AMBOY
Mailing Address - State:WA
Mailing Address - Zip Code:98601-0077
Mailing Address - Country:US
Mailing Address - Phone:360-263-7440
Mailing Address - Fax:
Practice Address - Street 1:42208 NE MUNCH RD
Practice Address - Street 2:
Practice Address - City:AMBOY
Practice Address - State:WA
Practice Address - Zip Code:98601-4100
Practice Address - Country:US
Practice Address - Phone:360-687-3340
Practice Address - Fax:360-263-6282
Is Sole Proprietor?:Yes
Enumeration Date:2025-09-22
Last Update Date:2025-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00001367175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty