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Organization
MIJO
Active
Organization
MIJO
Active
Other names
The Holistic Health Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE YOUNG ND, LAC (CO-OWNER)
(972) 571-6275
Entity
Organization
Contact information
Practice address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Mailing address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
—
—
175F00000X
Naturopath
Primary
—
—
225700000X
Massage Therapist
—
—
Other
Enumeration date
09/09/2024
Last updated
09/30/2024
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