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General NPI Number Information
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NPI Number | 1598578940
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Entity Type | Organization
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Legal Business Name | DENIQUE DENNEY MASSAGE THERAPIST, LLC
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 10700 SW BEAVERTON HILLSDALE HWY STE 550
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City | BEAVERTON
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State | OR
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Zip | 97005-4740
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Country | US
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Telephone | 971-245-2299
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Fax |
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Provider Business Mailing Address
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Address Line | 14712 SW BEARD RD APT 217
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City | BEAVERTON
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State | OR
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Zip | 97007-6214
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Country | US
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Telephone | 971-245-2299
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Fax |
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Authorized Official
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Title or Position | OWNER/LMT
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Name | REGAN DENIQUE DENNEY
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Credential |
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Telephone | 503-791-9334
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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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