Individual
JULIANNE KLINGBERG DEFOREST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA, LMT, CIMT
Contact information
Practice address
786 S MAIN ST, INDEPENDENCE, OR 97351-2310
(503) 510-2256
Mailing address
786 S MAIN ST, INDEPENDENCE, OR 97351-2310
(503) 510-2256
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
7627
OR
Other
Enumeration date
07/16/2013
Last updated
07/16/2013
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