Individual
MICHAELA YOUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
701 W RUTH AVE, SALLISAW, OK 74955-7273
(918) 775-5544
Mailing address
701 W RUTH AVE, SALLISAW, OK 74955-7273
(918) 775-5544
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
OK
Other
Enumeration date
01/05/2026
Last updated
01/05/2026
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