# MIJO

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Holistic Health Clinic
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598591331
- **Authorized official:** MICHELLE YOUNG ND, LAC (CO-OWNER)
- **Authorized official phone:** (972) 571-6275

## Contact information

- **Practice address:** 4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
- **Practice address phone:** (503) 646-8575
- **Practice address fax:** (503) 526-0783
- **Mailing address:** 4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
- **Mailing address phone:** (503) 646-8575
- **Mailing address fax:** (503) 526-0783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | — |
| 171100000X | Acupuncturist | — | — | — |
| 175F00000X | Naturopath | — | NULL | Yes |
| 175F00000X | Naturopath | — | — | Yes |
| 225700000X | Massage Therapist | — | NULL | — |
| 225700000X | Massage Therapist | — | — | — |

## Other

- **Enumeration date:** 09/09/2024
- **Last updated:** 09/30/2024