Organization
MIO SPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK CHRISTENSON (OWNER)
(503) 538-0100
Entity
Organization
Contact information
Practice address
901 N BRUTSCHER ST, NEWBERG, OR 97132-6096
(503) 538-0100
(971) 762-3357
Mailing address
18157 SW SHADY MEADOW CT, BEAVERTON, OR 97007-6764
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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