Individual
CAROLYN WILLIAMS DELONG
Active
Sole proprietor
Yes
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
19699 MOUNTAINEER WAY APT 215, BEND, OR 97702-3224
(715) 891-7261
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
25289
OR
Other
Enumeration date
09/13/2021
Last updated
09/13/2021
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