Individual
MIQUELLA ALEENE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
7886 SE 13TH AVE, PORTLAND, OR 97202-6300
(503) 956-9396
(503) 206-4791
Mailing address
920 SE TACOMA ST, PORTLAND, OR 97202-6528
(847) 732-7983
Taxonomy
Speciality
Code
Description
License number
State
175F00000X
Naturopath
Primary
—
OR
Other
Enumeration date
10/03/2025
Last updated
10/03/2025
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