Individual
DENESE LYNN LINGLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
637 N 2ND AVE, STAYTON, OR 97383-1717
(503) 428-3507
Mailing address
PO BOX 379, SUBLIMITY, OR 97385-0379
(503) 428-3507
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
17438
OR
Other
Enumeration date
11/08/2010
Last updated
11/15/2010
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