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General NPI Number Information
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NPI Number | 1538071360
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Entity Type | Organization
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Legal Business Name | A HAUTE MESS LLC
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Dates
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Enumeration Date | 09/17/2026
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Last Update Date | 09/17/2026
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Provider Practice Location Address
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Address Line | 408 HILDA ST
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City | OREGON CITY
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State | OR
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Zip | 97045-2895
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Country | US
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Telephone | 503-908-1864
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Fax | 855-761-1471
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Provider Business Mailing Address
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Address Line | 24241 S LARKIN RD
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City | BEAVERCREEK
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State | OR
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Zip | 97004-9606
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Country | US
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Telephone | 503-908-1864
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Fax | 855-761-1471
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Authorized Official
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Title or Position | OWNER/LICENSED MASSAGE THERAPIST
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Name | MS. DENA DOREEN YOUNGBLOOD
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Credential | LMT #16814
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Telephone | 503-956-0491
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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