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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

FAWNDOVE O BRUBAKER, LMT

Active

Specialist · VANCOUVER, WA

Registration Details

NPI Number
1659326304
Provider Type
Individual
Gender
Female
NPI Issued
May 23, 2006 (19.937878240635 yrs)
Last Updated
Sep 14, 2012
Licenses
10892 (OR)
MA60242466 (WA)

Practice Information

Address
12514 SE 7TH ST APT B24
VANCOUVER, WA, 986834075
Browse WA providers · Browse ZIP 98683
Phone
5034904149
Primary Specialty
Specialist
174400000X
Additional Specialty
Specialist

Other Specialist Providers in VANCOUVER, WA

Name Credential NPI
DR. PANAGIOTIS FOURTOUNIS MD 1700889748
MEHDI S FERDOWS MD, PHD 1518960616
JORGE I URIBE M.D. 1194712992
DIANE M KELLY LMP 1083672406
MS. ALICE ANNE WILLIAMS L.M.P. 1912921735
FLORDELYS CASTRO-SANTILLAN SANTIANO MD 1467460832
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.