Provider Demographics
NPI:1619846243
Name:YAO, YING (LMT)
Entity type:Individual
Prefix:
First Name:YING
Middle Name:
Last Name:YAO
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:RICHARD
Other - Middle Name:FELIX
Other - Last Name:REAUME
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1911 MOUNTAIN VIEW LN STE 300
Mailing Address - Street 2:
Mailing Address - City:FOREST GROVE
Mailing Address - State:OR
Mailing Address - Zip Code:97116-7244
Mailing Address - Country:US
Mailing Address - Phone:503-381-5657
Mailing Address - Fax:503-381-5657
Practice Address - Street 1:1911 MOUNTAIN VIEW LN STE 300
Practice Address - Street 2:
Practice Address - City:FOREST GROVE
Practice Address - State:OR
Practice Address - Zip Code:97116-7244
Practice Address - Country:US
Practice Address - Phone:503-381-5657
Practice Address - Fax:503-381-5657
Is Sole Proprietor?:No
Enumeration Date:2025-11-03
Last Update Date:2025-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR26033225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist