FAWNDOVE O BRUBAKER LMT NPI 1659326304

NPI Information

NPI: 1659326304
Provider Name: FAWNDOVE O BRUBAKER, LMT
Classification: Specialist - 174400000X
Entity Type: Individual
Address:
12514 SE 7TH ST APT B24
VANCOUVER, WA
ZIP 98683
Phone: (503) 490-4149
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Fawndove O Brubaker, LMT is a specialist in Vancouver, WA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. Fawndove O Brubaker, LMT NPI is 1659326304. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12514 SE 7TH ST APT B24
VANCOUVER, WA
ZIP 98683-075
Phone: (503) 490-4149

The enumeration date for this NPI number is 5/23/2006 and was last updated on 9/14/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	225700000X	Massage Therapist		10892	OREGON	No
2	174400000X	Specialist		MA60242466	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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