Individual
MICHELLE DIANNE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ND, LAC
Contact information
Practice address
4670 SW WASHINGTON AVE, BEAVERTON, OR 97005-0530
(503) 646-8575
(503) 526-0783
Mailing address
5806 DUNIWAY AVE, GLADSTONE, OR 97027-1939
(972) 571-6275
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC168160
OR
175F00000X
Naturopath
Primary
2000
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500667513
—
OR
05
—
500681144
—
OR
Enumeration date
10/25/2013
Last updated
03/27/2023
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