Individual ProviderMichelle Dianne YoungNaturopathOther Service ProvidersPractice Address4670 SW Washington Ave, Beaverton, OR 97005-0530(503) 646-8575(972) 571-6275PECOS EnrollmentBased on the most recent information from CMS, provider Michelle Dianne Young does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1457789661Provider TypeIndividualFull NameYoung, Michelle DianneCredentialND, LACGenderFemaleSole ProprietorNoEnumeration Date10/25/2013Last Updated3/27/2023Contact InformationPractice LocationPractice Address4670 SW Washington Ave, Beaverton, OR 97005-0530Phone(503) 646-8575Fax(503) 526-0783Mailing LocationMailing Address5806 Duniway Ave, Gladstone, OR 97027-1939Phone(972) 571-6275FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicense2000OregonCode171100000XDescriptionAcupuncturistOther Service ProvidersLicenseAC168160OregonProvider IdentifiersIDDescriptionIssuerID500667513DescriptionMedicaidIssuerUnlistedOregonID500681144DescriptionMedicaidIssuerUnlistedOregon