Brubaker, Fawndove O

Brubaker, Fawndove O is an individual health care provider with primary practice located at 12514 Se 7Th St Apt B24 , Vancouver WA 98683-4075. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Other Service Providers / Specialist. Other Service Providers / Specialist is her primary health care specialty. Brubaker, Fawndove O can be contacted via phone (503) 490-4149.

Contact Information

Primary practice address
12514 Se 7Th St Apt B24 Vancouver WA 98683-4075
Phone: (503) 490-4149
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 10892 Oregon
Other Service Providers / Specialist 174400000X MA60242466 Washington

Profile Details

NPI number 1659326304
LBN Legal business name Brubaker, Fawndove O
Credentials LMT
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated Sep 14th, 2012 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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