Most Relevant Information
Provider Data
| NPI Number: | 1003219833 |
| Provider Name: | DENA DOREEN YOUNGBLOOD LMT |
| Entity Type: | Individual |
| Taxonomy Code: | 225700000X |
| Specialty: | Massage Therapist |
| License Number: | 16814 |
Most Important Dates
| Enumeration Date: | 10/07/2014 |
| Last Updated: | 02/22/2022 |
Provider Practice Location
408 HILDA ST
OREGON CITY
OR
970452895
Practice Location Phone/Fax
| Phone: | 5039081864 |
| Fax: | 5036325157 |
Provider Mailing Location
24241 S LARKIN RD
BEAVERCREEK
OR
970049606
Provider Mailing Phone/Fax
| Phone: | 5039560491 |
| Fax: | 5036325157 |