Fawndove O Brubaker, LMT is a
Specialist based in Vancouver, Washington. Fawndove O Brubaker is licensed to practice in Washington (license number MA60242466) and her current practice location is
12514 Se 7th St Apt B24, Vancouver, Washington. She can be reached at her office (for appointments etc.) via phone at
(503) 490-4149.
NPI number for Fawndove O Brubaker is 1659326304 and her current mailing address is 19206 Se 1st St, Ste 118, Camas, Washington. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1659326304.
Healthcare Provider's Profile
Full Name | Fawndove O Brubaker |
---|
Gender | Female |
---|
Speciality | Specialist |
---|
Location | 12514 Se 7th St Apt B24, Vancouver, Washington |
---|
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1659326304
- Provider Enumeration Date: 05/23/2006
- Last Update Date: 09/14/2012
Medical Identifiers
Medical identifiers for Fawndove O Brubaker such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1659326304 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | 10892 (Oregon) | Secondary |
174400000X | Specialist | MA60242466 (Washington) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Fawndove O Brubaker is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Fawndove O Brubaker, LMT 19206 Se 1st St, Ste 118, Camas, WA 98607-7478 Ph: (503) 490-4149 | Fawndove O Brubaker, LMT 12514 Se 7th St Apt B24, Vancouver, WA 98683-4075 Ph: (503) 490-4149 |
Reviews and Comments