OrganizationMijoNaturopathOther Service ProvidersPractice Address4670 SW Washington Ave, Beaverton, OR 97005-0530(503) 646-8575PECOS EnrollmentBased on the most recent information from CMS, provider Mijo 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 ID1598591331Provider TypeOrganizationFull NameMijoSubpartNoEnumeration Date9/9/2024Last Updated9/30/2024Contact InformationPractice LocationPractice Address4670 SW Washington Ave, Beaverton, OR 97005-0530Phone(503) 646-8575Fax(503) 526-0783Mailing LocationMailing Address4670 SW Washington Ave, Beaverton, OR 97005-0530Phone(503) 646-8575Fax(503) 526-0783Authorized OfficialNameYoung, Michelle (Co-Owner)Phone(972) 571-6275Provider TaxonomiesCodeDescriptionLicenseCode175F00000XPrimaryDescriptionNaturopathOther Service ProvidersLicenseUnlisted IssuerCode111N00000XDescriptionChiropractorChiropractic ProvidersLicenseUnlisted IssuerCode171100000XDescriptionAcupuncturistOther Service ProvidersLicenseUnlisted IssuerCode225700000XDescriptionMassage TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicenseUnlisted Issuer