Young, Michelle Dianne
Young, Michelle Dianne is an individual health care provider with primary practice located at 4670 Sw Washington Ave , Beaverton OR 97005-0530. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is her primary health care specialty. Young, Michelle Dianne can be contacted via phone (503) 646-8575.Contact Information
Primary practice address
4670 Sw Washington Ave
Beaverton OR 97005-0530
Phone: (503) 646-8575
Fax: (503) 526-0783
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Acupuncturist | 171100000X | AC168160 | Oregon |
| Other Service Providers / Naturopath | 175F00000X | 2000 | Oregon |
Profile Details
| NPI number | 1457789661 |
|---|---|
| LBN Legal business name | Young, Michelle Dianne |
| Credentials | ND, LAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 25th, 2013 |
| Last updated | Mar 27th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457789661 | NPPES |
| Oregon | MEDICAID | 500667513 | |
| Oregon | MEDICAID | 500681144 |
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