Individual
MRS. DEE YOUNGQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
222 SE URANIA LN, BEND, OR 97702-1624
(503) 367-2869
Mailing address
19788 ASTRO PL, BEND, OR 97702-2999
(503) 367-2869
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
19461
OR
Other
Enumeration date
11/12/2013
Last updated
11/12/2013
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