Healthcare Provider Details

I. General information

NPI: 1164331567
Provider Name (Legal Business Name): DEANA YOAKUM RF, NBCR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1710 W MAIN ST STE 218
BATTLE GROUND WA
98604-4318
US

IV. Provider business mailing address

21915 NE 399TH ST
AMBOY WA
98601-3335
US

V. Phone/Fax

Practice location:
  • Phone: 360-989-0591
  • Fax:
Mailing address:
  • Phone: 360-831-2792
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code173C00000X
TaxonomyReflexologist
License Number70168822
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: