Organization
YOUNG EAST ASIAN MEDICINE, LLC
Active
Other names
Wellness At The Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIXIE LEIGH YOUNG SMALL LAC (CLINIC OWNER)
(503) 984-8301
Entity
Organization
Contact information
Practice address
8931 SE FOSTER RD., STE 102, PORTLAND, OR 97266-4661
(503) 255-7000
(503) 255-7001
Mailing address
11731 SE LEXINGTON ST, PORTLAND, OR 97266-5935
(503) 984-8301
(503) 255-7001
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
AC01277
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500653508
—
OR
Enumeration date
03/20/2011
Last updated
04/03/2025
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