# MIO SPA LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306701941
- **Authorized official:** MARK CHRISTENSON (OWNER)
- **Authorized official phone:** (503) 538-0100

## Contact information

- **Practice address:** 901 N BRUTSCHER ST, NEWBERG, OR 97132-6096
- **Practice address phone:** (503) 538-0100
- **Practice address fax:** (971) 762-3357
- **Mailing address:** 18157 SW SHADY MEADOW CT, BEAVERTON, OR 97007-6764

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 12/17/2025
- **Last updated:** 12/17/2025