Individual
MS. DENA DOREEN YOUNGBLOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
408 HILDA ST, OREGON CITY, OR 97045-2895
(503) 908-1864
(503) 632-5157
Mailing address
24241 S LARKIN RD, BEAVERCREEK, OR 97004-9606
(503) 956-0491
(503) 632-5157
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
16814
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16814
OREGON BOARD OF MASSAGE THERAPY LICENSE
OR
Enumeration date
10/07/2014
Last updated
02/22/2022
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