Organization
ACTIVE WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK DAVID DEJOHN LMT (OWNER)
(541) 948-0993
Entity
Organization
Contact information
Practice address
593 NW YORK DR, BEND, OR 97703-7264
(541) 948-0993
Mailing address
20714 SNOW PEAKS DR, BEND, OR 97701-8027
(541) 948-0993
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
—
—
Other
Enumeration date
04/14/2026
Last updated
04/14/2026
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