Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Daniel Wallace Young, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174143572

Daniel Wallace Young, MD is an Internal Medicine in Portland, Oregon. Graduated from Medical University of South Carolina College of Medicine in 2020, 6 years ago. Practices with Legacy Clinics LLC, a 718-clinician group and accepts Medicare assignment. Licensed in Oregon.

Years since qualifying
6
Trained at
Medical University of South Carolina College of Medicine
Licensed in
OR
In the registry since
2020
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3181 SW Sam Jackson Park Rd
Portland, OR 97239-3098
Phone: (503) 494-8211
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence MD217591 (OR)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence PG206958 (OR)

Record details

NPI number1174143572
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 26, 2020
Last updated in NPPESOctober 9, 2023
Certification dateSeptember 22, 2021
Mailing address3181 Sw Sam Jackson Park Rd, Portland, OR 97239-3098

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolMEDICAL UNIVERSITY OF SOUTH CAROLINA COLLEGE OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Legacy Clinics Llc — 718 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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