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Fawndove O Brubaker, LMT
Specialist in Vancouver, Washington
NPI 1659326304

Fawndove O Brubaker is a Specialist based in Camas, WA. Fawndove O Brubaker practices in Vancouver, WA and has the professional credentials of LMT. The NPI Number for Fawndove O Brubaker is 1659326304 and holds a License No. 10892 (Washington).

The current practice location address for Fawndove O Brubaker is 12514 Se 7Th St Apt B24, Vancouver, WA and can be reached out via phone at 503-490-4149.

Location: 12514 Se 7Th St Apt B24, Vancouver, WA, 98607-7478
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1659326304
Provider Name
Fawndove O Brubaker
Credential
LMT
Provider Entity Type
Individual
Gender
Female
Address
12514 Se 7Th St Apt B24, Vancouver, WA, 98607-7478
Phone Number
503-490-4149
Fax Number
Provider Enumeration Date
05/23/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12514 Se 7Th St Apt B24
City
Vancouver
State
Washington
Zip
98683-4075
Phone Number
503-490-4149
Fax Number
person
Provider Business Mailing Address Details
Address
12514 Se 7Th St Apt B24
City
Vancouver
State
Washington
Zip
98683-4075
Phone Number
503-490-4149
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
MA60242466 (Washington)
Definition
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.
person
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Massage Therapist
Speciality
-
Taxonomy
225700000X
License No.
10892 (Oregon)
Definition
An individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes.
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