Provider Demographics
NPI:1124360094
Name:MEENGS, RAYMOND ALLEN (LMT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:ALLEN
Last Name:MEENGS
Suffix:
Gender:M
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1831 E 14TH ST
Mailing Address - Street 2:
Mailing Address - City:THE DALLES
Mailing Address - State:OR
Mailing Address - Zip Code:97058-3305
Mailing Address - Country:US
Mailing Address - Phone:541-993-0619
Mailing Address - Fax:
Practice Address - Street 1:1831 E 14TH ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-3305
Practice Address - Country:US
Practice Address - Phone:541-993-0619
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-19
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes173C00000XOther Service ProvidersReflexologist