Provider Demographics
NPI:1851607782
Name:DEARMOND, JULIA CHRISTIN (LMT)
Entity Type:Individual
Prefix:
First Name:JULIA
Middle Name:CHRISTIN
Last Name:DEARMOND
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 1:508 OAK ST STE 300
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2086
Mailing Address - Country:US
Mailing Address - Phone:509-310-9548
Mailing Address - Fax:
Practice Address - Street 1:508 OAK ST STE 300
Practice Address - Street 2:
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2086
Practice Address - Country:US
Practice Address - Phone:509-310-9548
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-30
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR15822225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist