Individual
CAROLYN DAUBENY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
516 SW 13TH ST STE 102, BEND, OR 97702-3442
(541) 728-0689
Mailing address
16555 SKYLINERS RD, BEND, OR 97703-5211
(541) 610-7225
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
18169
OR
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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