Individual
CARLEE NICOLE DEMORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
56880 VENTURE LN # 215S, SUNRIVER, OR 97707-2158
(541) 420-0644
Mailing address
56880 VENTURE LN # 215S, SUNRIVER, OR 97707-2158
(541) 420-0644
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25954
OR
Other
Enumeration date
10/10/2020
Last updated
10/10/2020
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