Provider Demographics
NPI:1447570445
Name:DUGAN, RACHEL LEE (LMT)
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:LEE
Last Name:DUGAN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:980 2ND. ST. SE
Mailing Address - Street 2:
Mailing Address - City:BANDON
Mailing Address - State:OR
Mailing Address - Zip Code:97411-9741
Mailing Address - Country:US
Mailing Address - Phone:541-347-9100
Mailing Address - Fax:
Practice Address - Street 1:980 2ND ST SE
Practice Address - Street 2:
Practice Address - City:BANDON
Practice Address - State:OR
Practice Address - Zip Code:97411-9475
Practice Address - Country:US
Practice Address - Phone:541-347-9100
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-02
Last Update Date:2010-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR16335172M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172M00000XOther Service ProvidersMechanotherapist